Nationwide: 1 800 741 9956

PROUD TO SHARE OUR CREDENTIALS

For faster shipping please order Nationwide 1 800 741 9956
Orders ship out on the same day when placed before 2:00PM EST
FAX ORDER FORM

(360) 614-9508

We believe that the purchase of a heat pump needs to be tailored to your needs. There are many special instructions or final questions that you might have right before you order your heat pump. By using this form you have the ability to write any questions or special requests that you might have. We try not to have an order placed and then a heater shipped without a pool heater professional reviewing your order to make sure it's the right unit for you. Our number one goal is to make sure that you get a great heater for the right application the first time.
You can also place your order by phone by calling us at: 1 800 741 9956. We will be very happy to hear from you.

Please fill out and print this form.  Then fax it to us  (360) 614-9508

You can always call us too.

After receiving your order, we will immediately process the shipment of your heater and then fax, e-mail, or call you with confirmation.
*Orders in the USA
If you wish to pay by check please give us a call before mailing it to start processing your order.

*Orders in Canada
Please select the shipping method of your choice and enter quoted shipping price or special shipping offer.

*Orders Outside the USA
Please contact us first for shipping quote and arrangements.

Personal Information: 

Pool heat pump desired: If a pool heater that you are interested in is not listed here, or you have an international order. please call (360) 568 3718  and we will be happy to give you a special quote.

Model that I would like to order:

You can use this space for comments or special instructions. We give discounts on multiple heaters too.

Method of payment: Choose the type of credit card that you will like to use for your purchase

Cardholder's Name:
Credit Card Number
Expiration Date:	(mm/yy)
For your protection please add the three digits of your Security Code that appear on the back of your credit card as illustrated on the picture below:

Order Confirmation: Please fill out and sign.

I,    authorize Pool Heat Pumps .Com to charge my credit card in the amount of

for (heater model #)

Credit card holder please sign printed form: _______________________________________

Date:__________________

By placing an order from Pool Heat Pumps .Com,  I  am familiar with and agree to the Terms & Conditions listed in this web site.

.Please print this page and fax it to us at: @ (360) 614-9508

THANK YOU FOR YOUR ORDER