Please fill out our Warranty Pre-Registration Form. Project Name*Date*LocationApplicator* First Last General Contractor* First Last Phone*FaxAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Building Materials*Smooth BlockSplitface BlockFluted/ Scored BlockStuccoConcrete Tilt-UpBrickSandblasted BlockExposed AggregateLightweight BlockType of Construction*Reinforced MasonryMasonry VeneerTilt-UpEFISUnknownType of Mortar JointsRakedTooledCondition of Mortar JointsIncluding: 90º Corners, Bee Holes, Voids or Shrinkage cracks, location and FrequencySurface Conditions* Efflorescence Lime Run Construction Debris Dirt Cleaning Required*YesNoStructural CrackingStep CracksVertical CracksLocation of Structural CracksCaulking Windows Doors Control Joints Vents Dissimilar Materials Through the wall openings Roof Installed?*YesNoDownspouts and/or Gutters Installed?*YesNoFlashing and Scuppers or Roof Drain installed?*YesNoCaulking?*YesNoParapet Wall Seal*NoneRolled RoofingTarElastomeric CoatingOpenMembraneParapet Wall Cap*NoneEFISMetalRoofing MaterialElastomericMasonryBuilding Ready for Material Application*CleanDryPlease select all that apply.Recommended Rainguard Material(s)Estimated take-off of surfaces to be sealed*Estimated Sq. Ft. Spread Rate*Does Applicator have current Technical Data and Safety Data sheets*NoYesIf 'No' please select what you are missingTDSSDSBothWill you be using previously purchased materials?YesNoIf 'Yes' How much material?CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms. Follow us on Social Media on Facebook and Instagram. Also, Check out our blog.
