VAST Contractor Registration

Thank you for your request to be included on our web site VAST Contractor Referral locator. Your request has been forwarded to the AZEK Sales Representative for your area, who will be contacting you shortly to assist you further with this request.

*If you are currently enrolled in our Contractor Referral Program and need to update your company/contact information listed on our website, we request that you contact your AZEK Representative directly to report your changes. Please do not re-enroll in the program in an effort to submit your necessary changes.

Name of Corporation or Sole Proprietorship

Owner/Primary Contact First Name

Owner/Primary Contact Last Name

Address 1

Address 2

City

State/Province

Country

Zip Code

Office Phone

Cell Phone

Fax

E-mail Address

Web Site URL

Would you like to have your website linked to the AZEK website?

Approximately how many paver jobs do you build per year?

Have you installed AZEK Pavers?

If you have installed AZEK Pavers, approximately how many projects have you completed?

How many square feet of AZEK Pavers have you installed?

Where do you purchase your AZEK Pavers?

First Choice

Second Choice

Are you licensed?

If not licensed, why?

Contractor License # (if required by your state)

Are you insured?

If yes, do you have?

Comprehensive General Liability
Automotive Liability
Worker's Compensation

Are you bonded?

If not bonded, why?

The undersigned contractor ("Contractor") desires to participate in the AZEK Paver Contractor Referral Program established by AZEK Building Products, Inc. ("AZEK") In consideration of such participation, and intending to be legally bound, Contractor agrees as follows:

Contractor acknowledges that it is an independent contractor and AZEK does not endorse or otherwise sponsor the services Contractor provides to any customers of AZEK. Contractor does not have the authority to bind AZEK in any respect and will not indicate to any AZEK customers that it is an affiliate of AZEK. Contractor will indemnify and hold harmless AZEK and its affiliates and their directors, officers, employees, agents, and other representatives against any any all third party claims, demands, actions, losses, expenses, damages, liabilities, and costs (including reasonable attorney fees) that may be based on or are otherwise related to the acts and omissions of Contractor. Contractor acknowledges that "AZEK" is a registered trademark of AZEK and Contractor does not have any right to use the trademark "AZEK" for any purpose without prior consent.

Contractor also represents that it has the licenses specified and will maintain such licenses and insurance coverage during the time Contractor participates in the AZEK Paver Contractor Referral Program. Contractor will promptly notify AZEK in the event of a change in insurance coverage or revocation of any of the licenses specified above.

I Accept I Do Not Accept

Security text question: Which digit is 6th in the number 7430918?

Answer for the security text question