Warranty Exception Pre-Registration Application

Warranty Exceptions Pre-Registration Application

Page 1

Page 2

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

* Complete this form PRIOR to the start of the project.

* Complete Pages 1-2.

* Fields with a red asterisk are required to be completed.

Today's Date

PROJECT

Enter name of project

Project Address

All fields must be completed.

Address 1

City

ZIP / Postal Code

State / Province

OWNER

Enter Owner Name

Owner Address

All fields must be completed.

Address 1

City

ZIP / Postal Code

State / Province

Owner Contact Name

Owner Contact Email

Owner Contact Phone Number

INSTALLER

Enter Firm Name

Installer Address

All fields must be completed.

Address 1

City

ZIP / Postal Code

State / Province

Installer Contact Name

Installer Contact Email

Installer Contact Phone Number

ARCHITECT / ENGINEER

Enter Firm Name

Architect / Engineer Address

All fields must be completed.

Address 1

City

ZIP / Postal Code

State / Province

Architect / Engineer Contact Name

Architect / Engineer Contact Email

Architect / Engineer Contact Phone Number

Consultant

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

Address 1

City

ZIP / Postal Code

State / Province

Consultant Contact Name

Consultant Contact Email

Consultant Contact Phone Number

GENERAL CONTRACTOR

Enter Firm Name

General Contractor Address

Address 1

City

ZIP / Postal Code

State / Province

General Contractor Contact Name

General Contractor Contact Email

General Contractor Contact Phone Number

DISTRIBUTOR

Distributor Address

Address 1

City

ZIP / Postal Code

State / Province

Distributor Contact Name

Distributor Contact Email

Distributor Contact Phone Number

Project Expected Start Date

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.

Product	Square Feet

Waterproofing

All waterproofing products qualify for Material

Product	Square Feet

Drainage

Polyflow® Product	Square 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

Term of Years Per Specification

Enter number of years.

Installation Date

Enter the estimated installation date.

Substantial Completion Date

Enter the estimated substantial completion date.

Warranty Need Per Specification

By Date

Specification Upload

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