Pentair Special Request Form

Special Request Form

Are you looking for something not offered on the site or need a large quantity order? You are on the right page!

All special orders require 30 days for production, and all special requests must achieve either a minimum value of $500 and/or meet the vendor minimum based on the item selected to be processed.

If you would like to proceed, complete the form, and one of our e-store representatives will review your request and respond in two business days.

If you have a general question, please call 800-533-1307 before completing this form.
Requester Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
Requester Email:*

Confirmation Emailexample@example.com
Is This A Co-branding Request?*

YesNo
Upload art here (AI or EPS format)
Is This For An Event?*

YesNo
Date You Need This Request By:*

MonthDayYear
Let Us Know What You Are Looking For:*
The more information you can provide the faster we will be able to find that perfect item you are looking for. Links to items you have found also help us know what your thinking.
Quantity Needed:*
Let us know how many you need
Let Us Know What You Would Like:*

Virtual sample (with decoration applied)Not Needed
Please Selection Your Country
Address For Shipping:

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Additional Notes:
Should be Empty: