Weathertightness Warranty Request

ALERT: All fields are required.

General Information

Date of Request

This field is required.

Petersen's Customer

This field is required.

Contact Name

This field is required.

Address

This field is required.

City

This field is required.

State

This field is required.

Zip

This field is required.

Phone

This field is required.

Fax

This field is required.

Warranty Type

This field is required.

Contract Amount

This field is required.

Completion Date

This field is required.

Material & Labor

(Standing Seam Only)

Panel Profile

This field is required.

Pitch

This field is required.

Material

Aluminum

Steel

Please select at least one material.

Mail Original To

Customer

Installer

Contractor

This field is required.

Petersen Aluminum Invoice Numbers & Dates

Warranty Invoice #

This field is required.

Inv. Date

This field is required.

Add an Invoice

Invoice Number

Invoice Date

Add an Invoice

Please supply at least one invoice number and date.

Up to eight (8) invoices can be added.

Contractor

Company Name

This field is required.

Contact

This field is required.

Address

This field is required.

City

This field is required.

State

This field is required.

Zip

This field is required.

Installer

Company

This field is required.

Contact

This field is required.

Address

This field is required.

City

This field is required.

State

This field is required.

Zip

This field is required.

Owner of Project

Company

This field is required.

Address

This field is required.

City

This field is required.

State

This field is required.

Zip

This field is required.

Project Name

Company

This field is required.

Address

This field is required.

City

This field is required.

State

This field is required.

Zip

This field is required.

Electronic Signature

Your Electronic Signature below certifies that all information on this form is accurate and you agree to the terms.

Your Full Name

This field is required.

Your Title

This field is required.

Today's Date

This field is required.

Check this box to certify that you are the above listed person and that you are electronically signing this document.

Please check this box.

By filling out the form above you are electronically submitting this information to Petersen Aluminum. A PDF will also be forwarded to the email address you entered above. You can keep this copy for your records. You will also have an option to download a copy of the PDF after pressing the submit button. If you do not wish to use the electronic version of this form you can download a fillable PDF form here [Weathertightness Warranty Request Form] which can be printed and submitted via Mail or Fax.

Note: Please take care in completing this form. Up to four original copies will be provided at no charge. Additional originals will be invoiced at a rate of $90.00 per additional requested. Also a change fee of $90.00 will apply to requests to amend or change any information once an original document has been completed and issued.

I understand that my information submitted in this form will be stored in a database by Petersen Aluminum.

Please check this box.

Please fill in all fields and submit again.