Project Registration Form (1)

SECTION ONE: GENERAL PROJECT INFORMATION

Your Name:(Required)
If Yes, tax exemption certificate must be sent to prswarranty@performanceroofsystems.us

SECTION 2.1: WARRANTY REGISTRATION INFORMATION

BUILDING

Building Address:

BUILDING OWNER

Building Owner Contact Name:
Building Owner Contact Address (if different from Building Address):

SPECIFIER

Specifier Firm Address:
Specifier Contact Name:

PRS APPROVED APPLICATOR

Applicator Company Address:
Applicator Company Contact Name:

SECTION 2.2: WARRANTY REGISTRATION INFORMATION

SECTION 3: ROOF SYSTEM INFORMATION

SYSTEM PLIES

INSULATION (BOARD STOCK)

INSULATION (LIGHTWEIGHT INSULATING CONCRETE)

VAPOR RETARDER/THERMAIL BARRIER

ROOF DECK

FLASHING PLIES

DERBIFLASH RS 230 LIQUID FLASHING

SECTION 3.1 ROOF SYSTEM INFORMATION (OPTIONAL ADDITIONAL SECTION 1)

SYSTEM PLIES

INSULATION (BOARD STOCK)

INSULATION (LIGHTWEIGHT INSULATING CONCRETE)

VAPOR RETARDER/THERMAL BARRIER

ROOF DECK

FLASHING PLIES

DERBIFLASH RS 230 LIQUID FLASHING

SECTION 3.2: ROOF SYSTEM INFORMATION (OPTIONAL ADDITIONAL SECTION 2)

SYSTEM PLIES

INSULATION (BOARD STOCK)

INSULATION (LIGHTWEIGHT INSULATING CONCRETE)

VAPOR RETARDER/THERMAL BARRIER

ROOF DECK

FLASHING PLIES

DERBIFLASH RS 230 LIQUID FLASHING

Section Break

Warranty riders are required to be pre-approved by PRS Technical Services and the warranty department. Contact your PRS sales representative to request pre-approval. Requests for warranty rider approval during or after installation will not be accepted.
Design Wind Speed:
Pre-approval required. Please submit PRS Technical Services approval and supporting documentation with this registration.
Hail Rider
Select severe hail for coverage up to 1.75 inches and very severe hail for coverage up to 2.75 inches.
Lightweight Insulation Concrete Rider:
Shop Fabricated Metal Rider:
Overburden Removal Rider:
This field is for validation purposes and should be left unchanged.