WARRANTY ACTIVATION FORM
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Service Type
*
Residential
Commercial
Industrial
Company Name
Date of Completion of Service
*
-
Month
-
Day
Year
Service Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which areas got coated?
*
Which areas got damaged?
*
Upload picture of the damaged area/s.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload picture of the receipt/invoice.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit Claim
Should be Empty: