*denotes required fields.
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Original Purchaser Information
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| First Name:* |
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| Last Name:* |
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| Phone: * |
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| E-mail: * |
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Installer Information
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| Name:* |
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| Street:* |
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| State:* |
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| Zip:* |
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| Phone: |
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Installation Information
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| Address of Installation |
| Street:* |
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| City:* |
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| State:* |
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| Zip:* |
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| Other Installation Information |
Date of Installation:*
mm/dd/yy |
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| Type of siding:* |
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| Type of Application:* |
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| Color:* |
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Builder's/Contractor's Information
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| First Name: |
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| Last Name: |
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| Phone: |
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| Company Name: |
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| Street: |
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| City: |
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| State: |
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| Zip: |
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| E-mail: |
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| I (the building owner) have read and accepted the Durabuilt® Vinyl Siding Products Homeowner's Limited Lifetime Transferable Warranty and certify that the installer noted above has installed Durabuilt® Vinyl Siding or Soffit on the home or building listed as the address of installation. |
| I Agree |
I Disagree |
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Installation Information
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In an effort to improve our service and performance to you, we would appreciate you taking a few moments to answer the following questions. All information will remain strictly confidential. Thank you for your cooperation.
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| How did you learn about Durabuilt®? |
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| How did you learn about the builder/contractor? |
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| How satisfied are you with the builder/contractor? |
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| How satisfied are you with the products installed? |
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| Please indicate the products used in this installation (see applicable warranty for complete details). |
| Product |
Profile / Color |
| 410 Series |
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| 440 Series |
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| 450 Series |
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| 480 Series |
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| 650 Series |
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| 660 Series |
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| 900 Series |
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| Approximately how old is your home?(years) |
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| How long have you lived in your home? (years) |
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| Approximate value of your home: (dollars) |
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| What was the total cost of the siding job? |
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| Reasons why you chose Durabuilt® products (choose 3) |
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| What was on your home before you sided with Durabuilt®? |
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| How did you finance your siding job? |
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| select your age group |
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| Number of people in your home: |
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| Total household income: |
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