Form

Authorized Contractor Special Warranty Form

Please completely fill in the form.

First name*

Last name*

Company name*

Street address*

Street address 2

City*

State/Region*

Postal code*

Email*

Phone number

Please list all QuickFitting Holding Company, LLC Products installed*

For example: 1/2" brass coupling, 3/4" brass elbow, 1/2" 45 degree copper street elbow, etc.

Please describe the project where you installed the QuickFitting products*

For example: This was a hot water heater expansion or This was a bathroom remodel, etc.

Please include the address where the QuickFitting products were installed*

Please include street address, city, state, and zip code; QuickFitting does not need the customer's name.