Product Information Form
Please complete as much of the information below in order for our technical staff to give you the best possible service. If you have any questions, you can reach a VELUX Technical Service representative at 1-800-888-3589.

Homeowner Information
*Last Name:
*First Name:
*Address:
*City:
*Province:
*Postal Code:
*Who to contact:
*Email Address:
Providing your e-mail address will help expedite the scheduling of your service. Email addresses will be treated as confidential.
*Daytime Phone:
NNN-NNN-NNNN
Cell Phone:
Pager:
Fax:

*Roof Pitch:
*Roof Type:
*Skylight Model:
*Model Size:
Serial Number:
Click here for help finding your serial number
*Year Skylight Installed:
* VELUX flashing Used:
*Underlayment Used:
*Number of skylights on job:
*Number skylights affected:
Number of blinds/shades installed:
Number of blinds/shades affected:
*Skylights located on:
*Problem Category:
*Description of problem:
Date of purchase:
Select A Date
Attach skylight photos:

Click 'Browse' to attach files. Press your 'Ctrl' key to attach multiple files.

Terms: Non warranty product - VELUX will contact you to recommend a Skylight Specialist that is qualified to carry out repairs.
Warranty product installed over one year will be subject to a minimum $115 service call fee (not including labour).
Please provide the serial number of your product to determine the applicable warranty. (Check box to agree to the terms and conditions.)