Items bolded in red are required information. If not provided, ALPOLIC wil not be able to proceed with processing your warranty request until all required information is received. If you have any questions, please contact Laura J. Levine at 757-382-5772 or email Laura@ALPOLIC.com

**Warranties will be returned to you digitally signed by an ALPOLIC representative via email**

EMail address to where warranties should be sent:

Select Type of Warranty Required

Panel -Maximum panel warranty is 10 years
10 yr	20 yr
5 yr HLA	5 yr HPA	5 yr Anodized

Finish Warranties (LT material on a project review basis)

No finish warranty is available on Copper, Stainless or Titanium as there is no finish applied and the metal will age in accordance with the environment and the metal's characteristics.

No finish warranties available for polyester finishes.

Check All that Apply - an application must be referenced
Accents   Canopies   Fascia   Entrance Way   Soffits   Walls
*If other, please specify:

Types of attachments used:

REQUIRED
Each color must be broken down by SqFt
Warranty cannot be issued without SqFt per color

Commencement date of warranty:

Alpolic Invoice Number or your Purchase Order Number:

To whom the warranties should be made out (Company or Job)

Physical Location

Project Name:
Physical Street Address:
City:
State:
Zip/Postal Code:

Project Architect/Owner Information

First Name:
Last Name:
Street Address:
City:
State:
Zip/Postal Code:
Phone:
EMail:

Enter Characters Above: