First Name: *

Last Name: *

Address: *

City: *

Province: *

Postal Code: *

Home Phone: *

Alt Phone: *

Email: *

Identify the shape below that matches your hot-tub. Write the type # in the space provided. If your spa does not fit one of the rigid descriptions below, please accurately sketch its shape on a separate piece of paper and write "other" in the space.

Note: Type 1 and Type 2 hot-tubs can be either square or rectangle in shape. "Type" refers to the style of corners only.

Outside Dimensions: Please specify the outside dimensions of the acrylic (or fiber-glass) portion of your spa (refer to the diagram of your spa shape above).

A (inches):

B (inches):

C (inches):

D (inches):

Please indicate in the space provided which cover thickness and taper you would like*

2 inch Flat 3 to 2 inch Taper 4 to 3 inch Taper 5 to 4 inch Taper

Using the diagrams provided as a reference indicate if you want the cover to fold vertically or horizontally.*

Vertical Horizontal

Would you like the cover to be a bi-fold or a quad-fold?*

Bi-fold cover Quad-fold cover

Please select the colour for your cover*

Tan Brown Sand Grey Charcoal Burgundy Teal Navy Green Black

Standard skirt length is 2 1/2". Longer skirts are available upon request. Please indicate the skirt length in the space provided above. If nothing is marked, you will receive the standard 2 1/2" skirt.

Please select a Method of Payment: *

Visa MasterCard Amex

An Aqua-Tech Customer Care Specialist will contact you regarding collecting payment.

Please indicate any special instructions regarding the manufacture of your spa cover.

For security, please type D36B: *

Submit: