Chemical Order Form*Pricing as of 03/13/24 - Prices don’t include sales tax Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country 40lb bag of Aquasalt Pool Salt $10.75 0 1 2 3 4 5 6 7 8 9 10 4 Gallon Box of Muriatic Acid $32.00 0 1 2 3 4 5 25lb Bucket of Refresh (68% Cal Hypo) $130.00 0 1 2 3 4 5 10lb Resealable of Alkalinity Plus $15.00 0 1 2 3 4 5 6 7 8 9 10+ 25lb Box Alkalinity Up $39.00 1 2 3 4 5 25lb Bucket of Stabilizer $89.00 0 1 2 3 4 5 3" Tri-Chlor Tabs $285.00 0 1 2 3 4 5 25lb Box of Calcium Increaser $36.00 0 1 2 3 4 5 6 7 8 9 10 50lb Bucket of 3" Chlorine Tablets $200.00 0 1 2 3 4 5 Delivery/Pickup Delivery Pick Up in Store Date of Delivery/Pick Up MM DD YYYY Thank you! Once your order has been received an invoice will be sent to the email address provided and you will be notified when your chemicals are ready to be picked up. Pick-up times:Monday - Friday 9am-5pmLocation:Blue Fire Pools4451 Dale Earnhardt Blvd. Unit C 50 Northlake, TX 76262Questions: (682)593-9888