Registration - PentalQuartz

REGISTRATION FORM

Please register your PentalQuartz product here within 30 days of installation:

Click here to download the registration form and send it by mail.

Name*
Email*
Phone Number*
ADDRESS OF INSTALLATION
I am a
Street Address*
City*
State / Province*
Country*
Company Name
Project Type
Fabricator / Dealer
Number of Slabs*
Date Purchased*
Date Format: MM slash DD slash YYYY
Date Installed*
Date Format: MM slash DD slash YYYY
Where Did You Hear About PentalQuartz?
SLAB INFORMATION
Ask your fabricator or call (206)768-3200 if you do not know your serial number.
Slab 1 Serial No.*
Slab 1 Usage*
Slab 1 Color*
Finish*
ADDITIONAL SLABS
Please use if registering more than one slab.
Slab 2 Serial No.
Slab 2 Usage
Slab 2 Color
Finish
Slab 3 Serial No.
Slab 3 Usage
Slab 3 Color
Finish
Slab 4 Serial No.
Slab 4 Usage
Slab 4 Color
Finish