VELUX-America: Builder Enrollment

Note: You may skip to the Product Order Form only if Enrollment Form for the development has been completed previously or if ordering product for an existing model: Product Order

* Indicates Required Fields

Builder Information

*Company Name
*Address

*City
*State
*Zip
*Contact Name
*Contact's Title
*Phone Number
*Fax Number:
*Email:

Model Home Information

*Community/Subdivision Name:
*Total number of homes in community/subdivision? (Include all phases)
*Number of models planned for community/subdivision?
Date model opens
*Model home/design center address:

*City:
*State:
*Zip:
*How many models will include VELUX skylights?
*How many of these will include skylights as a "standard feature" in the community?
*How many of these are approved "Parade of Homes" models?
*Is this considered an Active Adult Community? Yes No

Training Needs

Roofer name
Sales and marketing names
Other names

The following section should be completed in hard copy only and
submitted to Greenwood, SC for final approval.

No action will be taken by VELUX on any box without the builder's initials and
signature at the bottom.

Initial Here

Hyperlink to my web site
Web site address:

Initial Here

Use photographs of my model home in promotion and advertising materials.

Initial Here

Place my model home information on the VELUX America model home locator.

Initial Here

I agree to allow this agreement to apply to all models
in all projects during calendar year(s): ____________________

This Form
Completed By:

__________________________________________
Builder Rep Signature

*VELUX Rep Name:

*VELUX District Manager:

*Date of Request:

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