Chemical Resistant Warranty Pre-Registration Application

Chemical Resistant Warranty Pre-Registration Application

Please complete both pages and be sure to click on the "SUBMIT" button at the bottom of the last page.


PLEASE READ
* Complete this form PRIOR to the start of the project.
* Complete Pages 1-2.
* Fields with a red asterisk are required to be completed.

Enter name of project

Project Address

All fields must be completed.


Enter Owner Name

Owner Address

All fields must be completed.


Enter Firm Name

Installer Address

All fields must be completed.


Enter Firm Name

Architect / Engineer Address

All fields must be completed.


Enter Firm Name. If there is a consultant on this project, all fields below must be completed. If no consultant, enter "N'A" here.

Consultant Address

Enter Firm Name

General Contractor Address

Please complete both pages and be sure to click on the "SUBMIT" button at the bottom of the last page.

Please complete both pages and be sure to click on the "SUBMIT" button at the bottom of this page.

Warranty Requesting

Polyguard's Fee per Square Feet (SF) applies to all of the following warranties: 15 Year Material Only, 10 Year Material & Labor, 15 Year Material & Labor. Contact archtech@polyguard.com for this project fee rate.

Term/Type
Project Specification Requirements

Installation Date

Enter the estimated substantial completion date.

Warranty Need Per Specification
By Date

THIS SECTION IS FOR USE BY POLYGUARD ONLY

Exceptions/Waiver Approvals can only be approved by Architectural Director of Tech Services & Product Management


Documents Required To Accompany This Form

A copy of the Specification is required. Please upload a single PDF or Word file only. (Specification must include sections listing Warranty Requirements (i.e. terms) and all products specified)

A copy of the Project Plans / CAD Details are required. Please upload a single PDF file only.

If you have any other documentation on this project that you feel would be helpful for this pre-registration, please upload a single PDF or Word file only.

Please use this area for any information not requested on this form, that you feel would be helpful in the approval of this Pre-Registration request.


Agreements Required 

Please check all of the following acknowledging each


Ultra CRM™ System
Ultra CRM™

Add all the Ultra CRM™ System products you plan to use on this project.

ProductSF
Ultra CRM™ System Accessories

Add all the Ultra® CRM™ System products you plan to use on this project.

ProductSF

Underseal® CRM™ System
Underseal® CRM™ System

Add all the Underseal® CRM™ System products you plan to use on this project.

ProductSF
Underseal® CRM™ System Accessories

Add all the Underseal® CRM™ System products you plan to use on this project.

ProductSF

Drainage Products for CRM™ Systems
Polyflow® Drainage

Add all the Underseal® CRM™ System products you plan to use on this project.

ProductSF
Totalflow™ Drainage

Add all the Underseal® CRM™ System products you plan to use on this project.

ProductLF
Totalflow™ Accessories

Add all the Underseal® CRM™ System products you plan to use on this project.

ProductQuantity of Unit

Enter the name of the person completing this form.

Signature of person completing/submitting this application.

Your browser does not support the Signature field

Be sure to click on the "SUBMIT" button or your application will not be sent to us.

50%