PlatinumJOBregORIGINAL

Platinum Job Registration Form

Please leave your details below:

Job Name:

Job Address:

Installation Company:

Lead installer's Full name:

Lead installer's Phone number:

Lead installer's email address:

Platinum Job sq. Footage:

Adhesive used:

Adhesive Lot #: (Please note: The Adhesive lot # is located on the bottom of the adhesive can)

Flooring type:

Manufacturer

Product Name:

Substrate:

Relative Humidity Reading (RH):

pH Reading:

Moisture Vapour Emission Rating (MVER):

# of test sites:

Job Type:

Other details: