| * I am the: |
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* My E-mail address is:
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| * Please reenter E-mail address: |
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| ***Confirmation of this warranty request and the Warranty Document will be E-mailed to this address. Your E-mail address must be accurate in order for you to receive your warranty.*** |
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Project Location Information:
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| * Building Name: |
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| * Project Address: |
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| * City: |
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| * US State or Canadian Province: |
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| * US Zip Code or Canadian Postal Code: |
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| Building Owner Information: |
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| * Homeowner Name: |
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| * Owner Address: |
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| * City: |
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| * US State or Canadian Province: |
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| * US Zip Code or Canadian Postal Code: |
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| Owner Contact Name: |
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| Owner Phone: |
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| Project Information: |
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| * Roof Size: |
square feet |
| * Membrane Type: |
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| * Membrane Thickness: |
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| * System Type: |
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| * Date Roof Installation Completed: |
/ / (select from drop downs) |
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| Where was your GenFlex material purchased? |
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| Store Name: |
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| Store City: |
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| Store State or Province: |
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| Installing Contractor Information: |
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| * Company Name: |
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| * Installer Address: |
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| * City: |
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| * US State or Canadian Province: |
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| * US Zip Code or Canadian Postal Code: |
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| Comments: |
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***Please review the information you have entered above.
Information will appear on the warranty exactly as it is entered above.
You will not be able to make changes to this information once you click "Submit."***
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