Warranty Exceptions Pre-Registration Application

Pre-Registration For Extended Material Warranties (> 5 years) or Material & Labor Warranties.

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

*No warranties are issued on Underseal® residential projects.

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

Distributor 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.

PRODUCT INSTALLATION

Please select all Polyguard products to be installed and enter the total amount of each.

Air Barriers

All Air Barrier products qualify for Material Only warranties, but DO NOT qualify for Material & Labor warranties.

ProductSquare Feet
Waterproofing

All waterproofing products qualify for Material

ProductSquare Feet
Drainage
Polyflow® ProductSquare Feet
Drainage - Totalflow™
Totalflow™Linear Feet
Accessories - Air Barrier Flashings

Select all accessories needed for this project.

Accessory Product
Accessories - Primers, Sealants, Adhesives, Detailing

Select all accessories needed for this project.

Accessory Product
Accessories - Tapes

Select all accessories needed for this project.

Accessory Product
Accessories - Miscellanous
Accessory Product
Accessories - Other(s) Not Listed On This Form

List any other Polyguard Accessory Products not listed for choice above.

Other Polyguard Accessory Product

Enter number of years.

Enter the estimated installation date.

Enter the estimated substantial completion date.

Warranty Need Per Specification
By Date

A copy of the Specification is required. Please upload a single PDF or Word 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.

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.

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