DaVinci: Warranty Request Form

DaVinci Roofscapes 50-Year Warranty Registration

Job

P.O. Number

Installation Date (mm/dd/yy)

Purchase Date (mm/dd/yy)

First Name*

Last Name*

Address Line 1*

Address Line 2

City*

State/Province*

Country*

Zip/Postal Code*

Home Phone (incl. area code)

Business Phone (incl. area code)

Email Address*

(Example: john_doe@hotmail.com)
(DaVinci does not sell your information.)

Address Line 1*

Address Line 2

City*

State/Province*

Country*

Zip/Postal Code*

Roofing Contractor

Contractor Address Line 1

Contractor Address Line 2

City

State/Province

Country

Zip/Postal Code

Contact Name

Phone Number (incl. area code)

Fax Number (incl. area code)

Email Address

(Example: john_doe@hotmail.com)
(DaVinci does not sell your information.)

Website

Type of Project

Number of Squares

Photos will be sent by:

I will send photos by:

Type of Product

Color Blend Selected (Slate)

Color Blend Selected (Shake)

Completed Installation Cost

$
(Please send copy of receipt to validate warranty.)

Please write your name and the installation address on the back of your photo and receipt and send to:

Warranty Department
DaVinci Roofscapes, LLC
1413 Osage Ave.
Kansas City, KS 66105

Alternatively, you may send us your high resolution digital photographs by email. Upon submitting this form, a confirmation email will be sent to the email address you provided above to remind you to send your photographs either 1) by postal mail to the above address, or 2) as an attachment to your reply to the confirmation email. Please consult your browser help files if you are unsure of how to attach files to an email message. More detailed information is contained within the confirmation email message you will receive.