Trained Installer Trained Installer's Name Business Name Business Address Country - None -United States Address 1 Address 2 City State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming--Armed Forces (Americas)Armed Forces (Europe, Canada, Middle East, Africa)Armed Forces (Pacific)American SamoaFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPuerto RicoVirgin Islands ZIP code Phone Fax E-Mail Certified PipePatch Installer # (S1E will assign) PipePatch Installer Certification PipePatch Tee & Wye PipePatch Elbow Repair System Pillow Repair System Mini Repair System Phoenix Pipe-Robo-Tec-USA Pipe Plug Authorized Trainer Authorized Trainer's Name Business Name Phone Fax E-Mail Sales Policy This “PipePatch” is a stand alone Source 1 Environmental product line and, as such, all terms of sale are “PipePatch” specific. All “Contractor Installers” of “PipePatch” by Source 1 Environmental must be trained in the correct application and installation of this product group and such training must be given by an authorized Source 1 Environmental trainer. Source 1 Environmental, warrants this product against all defects in workmanship or materials for a period of one (1) year and will replace any defective product returned to it within this time period. The complete Limited Warranty can be reviewed, as printed, on our “PipePatch” by Source 1 Environmental price list. Source 1 Environmental reserves the right to add the Trained Installers name to a data base being compiled by Source 1 Environmental in order to advise such Trained Installers of future new products or new uses for “PipePatch” by Source 1 Environmental. CAPTCHA This question is for testing whether you are a human visitor and to prevent automated spam submissions. Submit your request