First Name *
Last Name *
Number of Products purchased? *
1 - 2
3 - 4
Example: If you purchased a Smart Plug and a Pipe Boot your answer would be 2.
Which products have you purchased? *
Section Ridge Vent
Mulit-Roll Ridge Vent
Flex Roll Ridge Vent
Smart Plug Roof Patch
To select more than one item, hold down the SHIFT key and click each item you want.
What is the name of the dealer where you purchased your products? *
What is the dealers zip code? *