Professional Products of Kansas, Inc.
4456 S. Clifton, Wichita, KS 67216  l  316 522-9346  l  800 676-7346   l  Fax: 316 522-9346

5 Year (horizontal) Warranty Application

In order to receive warranty consideration, complete Sections 1 & 2 and submit for review and pre-approval prior to project commencement. Following project completion, complete Section 3 and submit entire application for processing and approval.

Section 3 (to be completed upon project completion)
Your Name:
E-mail Address:
Phone Number:
Today's Date:
Project Name:

 Sections 1 & 2 submitted and approved prior to application.
Application Firm:
Address:
City:
State:
Zip:
Project Manager:
Phone Number:
PROFESSIONAL Water Sealant Formulation used:  
Number of Gallons Used:
Product Batch Numbers (1 per gallon):
Substrate:
Actual Project Sq. Ft.
Actual Project Coverage Rate:
Application Date(s):
Application Method:
Weather Conditions:
Distributor Name:
Address:
City:
State:
Zip:
Project Detail: The entire project, listed in section 1, is to be sealed:   

If No, describe the specific areas (or buildings) where PWS will be applied.

 By checking this box, I certify that the information provided on this application is correct and that the product was applied in accordance with Professional Products of Kansas' Application Instructions.