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We welcome the "do it yourselfer", home owner looking to repair or maintain their driveway or sidewalks







Dealer and Distributor for:

  

>>> QUESTIONNAIRE FOR PAVING CONTRACTORS

Please fill out the questionnaire below and provide your company information.

We'd like to thank you in advance for taking time to fill out this questionnaire. Your answers will help us to do a better job for you. As a "thank you" we will credit your account with 5 gallons of coal tar emulsion.

Please check all that apply to the work your business performs:

Seal Coating Residential Seal Coating Commercial Hot/Cold Crack filling Patching/pot hole repair
Removal paving Concrete sealing Concrete repair/joint sealing Striping/marking
Snow

What type of sealer do you use?  
Coal Tar Asphalt emulsion or blend
How many gallons do you average per year.?  
 0-5000  5001-10,000
 10,001-20,000  20,000 +
Do you use latex modifiers?    
Yes No
Do you use quick set additives?    
Yes No
Do you use cold pour crack filler?    
Yes No
Do you use hot pour crack filler material    
Yes No
Do you use trowleable crack filler?    
  Yes   No
Do you stripe?    
  Yes   No
Do you have a bulk tank?    
  Yes   No
If we had a hot crack filling machine to rent would you be interested?    
  Yes   No
Would you be interested in delivery of sealer and products to your site?    
  Yes   No
Would you like a distributor with extended hours and after hours service?    
  Yes   No

Contact Name:
Company Name:
E-mail:
Website, URL:
Address:
City:
State:
Zip Code:
Phone:
Fax:
Comments:

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