Custom Shape Order Form				This is a Quote		This is an Order
Dealer/Distributor Information				Shipping Instructions
Company:				Ship To:
Address:				Address:
City:				City:
State:		Zip:		State:		Zip:
Telephone:				Attention:
Fax:				P.O.#:
Contact Name:				Job Name:

Cover Specifications
Cover Type:			Color Choice:
	Safety Mesh	Solid Vinyl		Green	Blue	Gray	Tan

Strap Spacing:   5-Foot   3-Foot Deck Width:   __________	No Charge Options:   D Rings   Spring Covers   Y Strap   Drain Panel	Anchor Type:   Concrete   Wood Deck   Brass Collars	Coping Material:   Concrete   Other______
Draw sketch of pool below as you measured it with "A" on the left.

Pool Details		YES	NO
1.	Are there any non-removable ladders, handrails, grab rails or fill spouts?
	a. A-B dimensions are required. Measure after all pool points are finished. Include on sketch. Fill out "cutouts" section on A-B Worksheet.
2.	Are there any slide legs within 2 feet of the pool's edge?
	a. A-B dimensions are required. Measure after all pool points are finished. Include on sketch. Fill out "cutouts" section on A-B Worksheet.
3.	Is there a dive stand requiring a cutout?
	a. Distance from pool ___________
	b. Width of stand ___________
4.	Is the diving board removable?
	a. Will A Y-Strap be required?
	b. At what point? ___________
5.	Are there any grab rocks or dive rocks?
	a. Please send photo.
	b. A-B dimensions are required at short intervals around pool side of rock. Include in A-B. Include on sketch.
6.	Are there any waterfalls or rock formations?
	a. Please send photo.
	b. A-B dimensions are required at short intervals around pool side of rocks. Include in A-B as you measure around the pool. Include on sketch.
7.	Is there a spa?
	a. Please send photo.
	b. Will spa be included in this quote/order?
	c. Is a separate cover required for spa?
	d. Distance between pool and spa at closest point ____________
	e. Is spa raised above deck level?
	f. Is spa dividing wall flush with top of coping?
	g. Does spa wall have a spillway?
	h. A-B dimensions are required to locate spillway. Measure after all pool points are finished.
8.	Is there a planter or grass area?
	a. Please send photo.
	b. A-B dimensions are required. Measure after all pool points are finished. Include in sketch.
	c. Do you want Rayner to supply the lawn stakes? (Note: number of stakes must not exceed 10% of total anchors for safety and warranty)
9.	Is there a raised deck area?
	a. Please send photo.
	b. A-B dimensions are required. Measure all points at same level as coping after all pool I points are finished. Indicate on sketch.
	c. Raised deck from pt. _______ to pt. _______
	d. How high is it raised from deck level? _______
10.	Is there a raised wall, raised bond beam or raised planter?
	a. Please send photo.
	b. A-B dimensions are needed at beginning and end of wall and at small intervals along pool side of wall. Measure all points at same level as coping.
	c. Can the wall be drilled into to hold wall anchors? (Note: Rayner does not supply wall anchors)
	d. What type of material is on the wall face? _______
	e. Height of wall? _______