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MODEL HOME REFUND REQUEST FORM

NOTE: Thank you for choosing VELUX products and for helping us to showcase them to the public via a model home. To show our appreciation we are pleased to offer quailfied contractors a 40% cash refund (up to $1,000.00) for all VELUX products used in model homes on open display to the public. Refunds are based on VELUX list prices and are subject to verification by VELUX.
Please fill out a separate "Model home refund request form" for each model home address. Request must be made within six(6) months of invoice date.
If you have any questions, please call 1-800-88-VELUX.
* Indicates Required Fields

Builder information
*Company Name
 
*Contact Name
 
*Contact's Title
 
*Address
 
 
*City
 
*State
 
*Zip
 
*Phone Number
 
Fax Number:
 
*Email:
 

*Average number of homes built in a year

*Dealer information (where purchases for the model home was made)
*Dealer Name
 
*Dealer City
 
*Dealer State
 
*Phone Number
 

Model Home Information
*Model home/Development Name:
*Date model opens
 
Date model closes:
 
*Model home address:
 
 
*City:
 
*State:
 
*Zip:
 
*Contact for model:
 
*Phone Number:
 
*Are you an Active Adult Builder?



Please complete the required fields above before selecting products below.
Line
PRODUCT INSTALLED
Qty
Size
Glass Type/Cladding
Flashing
Accessory
Qty
1
2
3
Special Instructions
(Include any options not listed above)


Model home merchandising aids
Please send me the following free items for display in my model home:




By checking any of the three boxes below, you agree to allow VELUX America LLC to hyperlink to your website, use photographs of your model home or place your model home information on the Model Home Locator. No action will be taken by VELUX on any box not checked.
Hyperlink to my web site
Web site address:
Use photographs of my model home in promotion and advertising materials.
Place my model home information on the VELUX America model home locator.




This Form
Completed By:
*Date of Request: Select A Date
*Attach Purchase Receipt: Click to locate and attach files.