Sales Representative
Literature / Sample
Request Form
For SGI Use Only:
Processing Date:
Order No:
Ordering Instructions:
Please provide us with your complete name, address and phone number to assure proper delivery. Sorry! Orders cannot be delivered to an address listed as a P.O. Box. Please note that each promotional item has a maximum quantity that can be ordered. We will not ship additional amounts above the quantity limitations. All orders sent direct to SGI at Fax: (317) 337-2177, Phone (888) 866-5777 or e-mail: fbp@sgi-net.com will ship within 24 hours (Please Allow 2 to 4 business days for shipping). If you want literature shipped overnight, please provide the name and account number of your overnight carrier (FedEx, UPS etc.). The overnight charges will be billed directly to your overnight carrier.
Ship to: (No Post Office Boxes):
Send or fax to:
Company Name:
Literature Order Department
Firestone Building Products
8350 Allison Avenue
Indianapolis, IN 46268
Phone: 888-866-5777
Fax: 317-337-2177
Street Address:
City, State, Zip:
Attention:
Phone:
Firestone Rep or Lic. #
Qty.
Item No.
Description
Max Qty.
Qty.
Item No.
Description
Max. Qty.
EPDM RUBBERGARD
EPDM RUBBERGARD (Cont'd.)
Systems Literature
949
Full Line Sweet's Brochure
100
1030S
RubberGard Max 5 yr.Limited Sample Warranty
25
1136
EPDM Brochure
30
1106
Platinum Warranty PHW Sample
10
1016
Maximize Life of Your Roof Brochure
20
Forms
1017
RubberGard Max Brochure
20
100R
Red Shield License Application
10
1088
AcryliTop Brochure
20
106
Pre-Installation Notice (PIN)
10
1103
RubberGard Platinum Brochure
20
169
Spec Deviation Request
10
1162
Premium Platinum EPDM Sell Sheet
50
Accessory Literature
407
EdgeGard System Sell Sheet
10
1155
QuickTaper Sell Sheet
50
1156
Pre-Applied Tape Products Sell Sheet
50
1177
RMA System Sell Sheet
50
Technical Manual
1178
QuickSeam Curb Flashing Products Sheet
50
Miscellaneous
1104
Platinum CD ROM
10
Membrane Samples
1105
Platinum Pocket Folder
10
1056
45 Mil EPDM LSFR Sample
20
ASPHALT
1057
60 Mil EPDM FR Sample
20
Systems Literature
1058
60 Mil EPDM LSFR Sample
20
1059
45 Mil EPDM FR Sample
20
966
Asphalt Brochure
30
1060
45 Mil EPDM Sample
20
1089
SBS Brochure
40
1061
60 Mil Uncured EPDM FormFlash Sample
20
Product Samples
1062
60 Mil EPDM Sample
20
1023
45 Mil Max Reinforced Membrane Sample
20
537
APP 170 Sample
20
1024
60 Mil Max Reinforced Membrane Sample
20
930
APP 180 FR (White) Sample
20
1025
60 Mil Max FR Reinforced Membrane Sample
20
1063
APP 160 Cool Sample
20
1026
45 Mil Max FR Reinforced Membrane Sample
20
1064
APP 170 Cool Sample
20
918
QuickSeam Tape
20
1065WH
White APP 180 Cool Sample
20
1110
90 Mil Platinum Membrane Sample
5
1066
APP 180 FR Cool (White) Sample
20
1111
Platinum Laminated to HailGard Sample
2
1067
APP 80 Glass Base Cool Sample
20
1144
60 Mil EPDM LSFR PT Sample
10
1065BL
Black APP 180 Cool Sample
20
1145
45 Mil Max PT Sample
10
1175
60 Mil Max PT Sample
10
Accessory Samples
596
APP 180 Sample (Check desired colors)
White
Black
20
250
Termination Bar
6
561
APP 160 Sample
20
254
Protective Fabric Mat
6
653WH
SBS (White) Granular Sample
20
364
Walkway Pad
4
653BL
SBS (Black) Granular Sample
20
780
SBS Smooth Sample
20
370
General Purpose Fastener Kit
6
796
SBS Premium Sample
20
744
Drain Bar
6
959
SBS Base Sample
20
779
Polymer Fastener Kit
6
908
SBS Premium FR Sample
20
985
Coated Drive Pin
6
910
SBS Flashing Sample
20
Sample Warranties
931
SBS Premium Base Sheet Sample
20
815
Red Shield Sample Warranty
25
932
SBS Torch Sample
20
816S
EPDM Membrane Limited Warranty
25
933
SBS FR Sample
20
1027S
PC-100 AcryliTop Sample Warranty
25
715
MB Base M Sheet Sample
20
1028S
RubberGard Max Limited Sample Warranty
25
958
Ply IV (4) M Glass Fiber Felt Sample
20
970
Ply IV (6) M Glass Felt Sample
20
ASPHALT (Con't.)
992
SBS FR Torch Sample
20
993
SBS Glass Torch Base Sample
20
ULTRAPLY
994
SBS Poly Torch Base Sample
20
Brochures/Literature
971
SBS Poly Base Sample
20
1154
UltraPly TPO XR Sell Sheet
50
995
SBS Metal Flash-AL Sample
20
1158
ReflexEON TPO Brochure
25
1018
Venting Base Sheet Sample
15
1159
ReflexEON TPO Sell Sheet
50
1099
MB Base SA Sample
15
1163
UltraPly TPO Platinum Sell Sheet
50
1164
ReflexEON TPO Platinum Sell Sheet
50
1165
UltraPly TPO Brochure
20
1179
UltraPly TPO Accessories Brochure
50
Technical Manuals
1172
TPO Mini Manual
10
1131
EPDM Mini Manual
10
1132
Asphalt Mini Manual
10
964
UltraPly TPO Manual
10
Samples
Sample Warranties
546
Application for MB Material Warranty
25
1143
UltraPly TPO ECO Walkway Pads
8
558-S
Modified Bitumen Standard Warranty
25
1134
45 Mil White UltraPly TPO (96 & 120) Sample
15
595-S
Modified Bitumen Limited Warranty
25
1134G
45 Mil Gray UltraPly TPO (96 & 120) Sample
15
913
Modified Bitumen Limited Product Warranty*
25
1134T
45 Mil Tan UltraPly TPO (96 & 120) Sample
15
1135
60 Mil UltraPly TPO (96 & 120) Sample
15
1135G
60 Mil Gray UltraPly TPO (96 & 120) Sample
15
1135T
60 Mil Tan UltraPly TPO (96 & 120) Sample
15
1141
45 Mil UltraPly TPO XR (100 & 115) Sample
20
1147
60 Mil UltraPly TPO XR (100 & 115) Sample
20
1157
60 Mil ReflexEON TPO Sample
20
1167
80 Mil ReflexEON Platinum TPO Sample
20
1168
80 Mil Premium Platinum TPO Sample
20
METAL PRODUCTS
Forms
8001
Red Shield Medallion Sample Warranty
25
100R
Red Shield License Application
10
1180
Red Shield Metal Products Warranty Brochure
50
101SR
Red Shield License Agreement Form *
10
1171
UNA-CLAD Metal Mini Manual
10
169
Spec Deviation Request
10
1183
UNA-Edge Metal Edge System Sheet
50
770
Modified Bitumen PIN
2
914
Contractor Registration Agreement *
50
CORPORATE
115
Spec Data Sheets
10
188
Roof Maintenance Stickers
10
245
Red Presentation Folder
50
713
Case History Form
10
828
Roofing Care & Maintenance
10
900
Material Safety Data Sheets
2
927E
Codes Guide (UL & FM) for EPDM
10
927M
Codes Guide (UL & FM) for Asphalt
10
927UT
Codes Guide (UL & FM) for UltraPly TPO
10
571
Master Contractor Annual Directory
25
Technical Manual
378
AcryliTop PC-100 Product Sheet
20
1132
Asphalt Mini Manual
5
343
Clothing Brochure
25
INSULATION
903
Red Shield Merchandise Order Form
10
Brochures/Literature
342
Standard Clothing Order Form *
10
508
FiberTop Wood Fiberboard Brochure
50
787
President's Club Clothing Order Form *
5
921
Tapered ISO 95+ Brochure
50
788
Master Contractor Clothing Order Form *
10
922
ISO 95+ Brochure
50
1137
Building Owner Brochure
50
1173
CoverDeck Brochure
50
1138
Metal Era / Metal Edge Flyer
10
1139
Portable Pipe Hanger Flyer
10
Samples
1140
Metal Era Brochure
10
251
Wood FiberBoard
6
1146
Ballast Paver Brochure
30
576
ISO 95+ Black Facer
12
1160
Premium Platinum Roof Systems Pocket Folder
25
1102
HailGard (formerly Nail Base) Insulation Sample
2
1161
Platinum Products Brochure
20
1174
Storm Team Emergency Roof Kit Brochure
20
1169
CoverDeck 250 .375 Cover Board Sample
25
1176
FillGard Pourable Sealer Sell Sheet
50
1170
CoverDeck 500 .625 Cover Board Sample
25
1182
Vapor Retarder System Sell Sheet
50
950
Tapered ISO
10
1184
Roofing Systems Quality Brochure
50
Technical Manual
1122
Roofing Systems Technical Manual
10
Sample Warranties
1130
Roofing Systems Interactive Manual CD
10
953
Insulation Warranty
10
Other (Indicate Item # & Description)
ADDITIONAL PRODUCTS
* Available to Firestone Sales Reps Only: Dated 03/07 Item # 356 SR