Credit / Product Request Form (FOR ECOFINISH USE ONLY)

Credit / Product Request

This form is for ecoFINISH Staff use only.

Company*

(Or Distributor)

CompanyContact*

First NameLast Name

Company Phone Number*

Country CodeArea CodePhone Number

Contact Email

Is this company an ecoFINISH Dealer?*

YesNo

Pool Owner Name

(if unknown, leave blank)

This form is NOT for, sample boards, or prospective dealer information packs. Please send those requests directly to po@ecofinishcoatings.com
Test sample requests will be approved by the President or General Manager.
For an account credit, the customer must place a PO to po@ecofinishcoatings.com when they are ready to release material and note they want to use the credit memo.

Request of Action*

Reason for request*

Date Issue Occurred*

If sample request, mark N/A

Substrate*

If sample request, select material for sample

Lbs of Powder

3lb or 40lb box

Powder Color requested

(for product replacement only)

Additional comments and notes on why replacement or sample has been requested: *

If product replacement, note if warranty claim form has been submitted

Shipping address for product or test sample*

Photos must be submitted if there is a claim of delamination

Browse Files

**Disclaimer** Submission of this form to EcoFINISH LLC. does not guarantee that the request will be approved.

***Hurricane relief will not come out of discretionary spending.

Request Submitted by*