Enter name of project
*No warranties are issued on Underseal® residential projects.
All fields must be completed.
Enter Owner Name
Enter Firm Name
Enter Firm Name. If there is a consultant on this project, all fields below must be completed. If no consultant, enter "N'A" here.
Please select all Polyguard products to be installed and enter the total amount of each.
All Air Barrier products qualify for Material Only warranties, but DO NOT qualify for Material & Labor warranties.
All waterproofing products qualify for Material
Select all accessories needed for this project. Accessories are not warrantied.
List any other Polyguard Accessory Products not listed for choice above.
Enter number of years.
Enter the estimated installation date.
Enter the estimated substantial completion 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.