Sample Request Form

After you have submitted your order you will receive an email with a list of the items you have requested. Please do not hesitate to contact us with any questions or suggestions at info@versico.com or 800-992-7663.

Literature and Sample Order Form
Company Name:		Contact Name:
Shipping Address:		Suite #:
City:		State:
Zip:		Phone:
Include your FedEx or UPS account number for express shipping.
FedEx:		UPS:
Please Provide correct shipping address (NO PO Boxes)
Email:


Binder and Contents/Rooftop Guides
Item #	Description	Qty
603360	Versico Specification and Detail DVD (Includes Installation Videos) (max 10)
602777	Versico Specification and Detail Binder (max 5)
600604	Rooftop Detail Guide - EPDM, TPO and PVC (max 5)
601304	Versico Line Card (max 25)
600571	Versico Folder (max 10)
603073	Spanish EPDM Rooftop Detail Guide (max 5)

Warranty Packets/Request Forms/Literature
Item #	Description	Qty
604798	Total System Warranty Brochure (max 25)
602016	30-Year Warranty Brochure (max 25)
602039	EPDM Membrane Material Warr Form -10,15,20yr (max 10)
602353	Heat Weld Material Warr Form - 10, 15, 20 Year (max 10)
605206	Polyiso and Membrane Material Warranty Form (max 25)
605185	Polyiso and Membrane Material Warranty Sell Sheet (max 25)
600706	Roof Drawing Tablet (max 5)
603059	Warranty Portfolio Packet (Folder/Roof Hatch Sticker/Care & Maintenance Brochure) (max 2)

VersiGard EPDM Literature and Samples
Item #	Description	Qty
601732	VersiGard 4 page Brochure (max 25)
601013	VersiGard Premium EPDM Roofing Systems (max 25)
600575	VersiGard Fully Adhered Flyer (max 25)
600581	VersiGard Mech Attached Flyer (max 25)
600596	VersiGard Ballasted Flyer (max 25)
604712	VersiGard Reinforced EPDM Membranes Flyer (max 25)
600559	VersiGard QA Accessories (max 25)
602378	VersiGard White EPDM Sell Sheet (max 25)
604298	VersiGard Metal Retrofit Brochure (max 25)
604485	VersiGard EPDM with QAT Seam Technology (max 10)
604549	VersiFleece EPDM Mechanically Attached System Sheet (max 10)
600565	45 mil VersiGard EPDM (max 25)
600579	60 mil VersiGard EPDM (max 25)
600560	60 mil White VersiGard EPDM (max 25)
601998	90 mil VersiGard EPDM (max 25)
600570	45 mil Reinforced VersiGard EPDM (max 25)
600573	60 mil Reinforced VersiGard EPDM (max 25)
603526	75 mil Reinforced VersiGard EPDM (max 10)
600745	VersiGard EPDM Quick Applied Seam Tape Sample (max 15)

VersiWeld TPO and VersiFleece TPO Literature and Samples
Item #	Description	Qty
601733	VersiWeld 4 page Brochure (max 25)
603388	VersiWeld QA TPO System Sheet (max 25)
604777	VersiWeld TPO Color Palette (max 25)
602795	Smarter Choice for TPO Flyer (max 25)
604788	VersiWeld TPO with OctaGuard XT Sell Sheet (max 25)
600602	VersiWeld Fully Adhered Flyer (max 25)
600585	VersiWeld Mech Attached Flyer (max 25)
600594	VersiWeld Accessory Flyer (max 25)
601012	VersiWeld Plus Brochure (max 25)
604061	VersiWeld TPO Metal Retrofit System (max 25)
604290	The Thick and Thin of TPO Roofing (max 25)
603347	60-mil White VersiWeld QA TPO Sample (max 25)
600595	45-mil White VersiWeld TPO (max 25)
600590	60-mil White VersiWeld TPO (max 25)
600222	80-mil White VersiWeld TPO (max 25)
600566	45-mil Grey VersiWeld TPO (max 25)
600603	60-mil Grey VersiWeld TPO (max 25)
600572	VersiWeld TPO Seam Sample (max 10)
600708	45-mil Tan VersiWeld TPO (max 25)
600582	60-mil Tan VersiWeld TPO (max 25)
600707	TPO Coated Metal - White (max 10)
600592	TPO Coated Metal - Tan (max 10)
600562	TPO Coated Metal - Gray (max 10)
605147	VersiFleece TPO 4-page Brochure (max 25)
604550	VersiFleece TPO Mechanically Attached System Sheet (max 10)
602189	VersiFleece TPO with DASH Adhesive System Sheet (max 25)
602191	VersiFleece TPO with AquaBase 120 System Sheet (max 25)
602270	VersiFleece TPO Hot Mopped/Cold Applied Systems (max 25)
601064	100-mil White VersiFleece TPO Sample (max 25)
601065	115-mil White VersiFleece TPO Sample (max 25)
601066	100-mil Gray VersiFleece TPO Sample (max 25)
601067	115-mil Gray VersiFleece TPO Sample (max 25)
605211	135-mil White VersiFleece TPO Sample (max 25)
602271	120-mil White VersiFleece AC TPO Sample (max 25)
605041	135-mil White VersiFleece AC TPO Sample (max 25)
605209	155-mil White VersiFleece AC TPO Sample (max 25)

VersiFlex PVC Literature and Samples
Item #	Description	Qty
602466	VersiFlex 4 page Brochure (max 25)
602193	VersiFlex Fully Adhered Sell Sheet (max 25)
602194	VersiFlex Mechanically Attached Sell Sheet (max 25)
605431	VersiFlex PVC Accessories Sell Sheet (max 25)
602186	VersiFlex 50-mil White (max 25)
602187	VersiFlex 60-mil White (max 25)
602188	VersiFlex 80-mil White (max 25)
605255	VersiFlex-E 50-mil PVC with Elvaloy - White (max 25)
605256	VersiFlex-E 60-mil PVC with Elvaloy - White (max 25)
605257	VersiFlex-E 80-mil PVC with Elvaloy - White (max 25)
604496	VersiFlex 50-mil Gray (max 25)
604497	VersiFlex 60-mil Gray (max 25)
606365	VersiFlex 80-mil Gray (max 25)
606366	VersiFlex 50-mil Tan (max 25)
606367	VersiFlex 60-mil Tan (max 25)
606368	VersiFlex 80-mil Tan (max 25)

Insulation and Underlayments
Item #	Description	Qty
604409	Versico Energy Efficient Polyiso Brochure (max 25)
600583	Versico Insulation Brochure (max 25)
602017	Polyiso Insulation Sell Sheet (max 25)
601014	Securock Sell Sheet (max 25)
601625	DensDeck Sell Sheet (max 25)
600561	Versico Polyiso Sample (Flat) (max 15)
602776	Versico Polyiso Sample (Tapered) (max 15)
603686	SecurShield Polyiso Sample (max 15)
605127	SecurShield HD Polyiso Sample (max 15)
601485	Wood Fiber Board Sample (max 15)
603884	Geomembrane Slip Sheet Sample (max 10)

Metal/Fasteners/Accessories
Item #	Description	Qty
600586	VersiTrim (M) Brochure (max 10)
604782	VersiTrim (H) Brochure (max 10)
605721	VersiTrim Heat-Weldable Drip Edge Sell Sheet (max 25)
605725	VersiTrim One Edge Sell Sheet (max 25)
601577	Secur Taper Instruction Sheet (max 25)
600568	Versico Rubber Pavers Sell Sheet (max 25)
600599	Black Interlocking Paver Sample (max 10)
600601	Red (Terra Cotta) Interlocking Paver Sample (max 10)
600578	HP Protective Mat (max 10)
600715	VersiWeld White Walkway Roll (max 10)
600705	QA EPDM Walkway Pad - Black (max 10)
600965	Batten Bar (max 10)
600569	Termination Bar (max 10)
604498	Fastener Sample Bag - Membrane Attachment (max 2)
604499	Fastener Sample Bag - Insulation Attachment (max 2)
604500	Fastener Sample Bag - Specialty Deck Attachment (max 2)
605040	RhinoBond TPO Sample Bag (max 2)
605236	RhinoBond PVC Sample Bag (max 2)
605208	RhinoBond Fastening System Brochure (TPO/PVC) (max 25)

Skylights/Roof Gardens/Coatings/Miscellaneous
Item #	Description	Qty
605718	Drylight Skylight Brochure (max 10)
605717	SunWeld Conventional Skylight Brochure (max 25)
605728	SunWeld Prismatic Skylight Sell Sheet (max 25)
605716	SunPath Tubular Skylight Brochure (max 10)
602402	Drylight Sample (max 2)
604621	Roof Garden Systems (max 10)
603866	LiveRoof Brochure (max 10)
604330	Versico LiveRoof Sell Sheet (max 10)
604365	X-Tenda coat Coating System Brochure (max 25)

Miscellaneous
Item #	Description	Qty
607038	Contractor Rewards Programs (max 25)
601957	Corporate Accounts Brochure (max 25)
603235	Adhesives and Sealants Brochure (max 25)
605988	Low VOC Adhesives and Sealants Brochure (max 25)
604366	Building Value Brochure (max 10)
602467	Corporate Capabilities Brochure (max 25)
603896	Energy Savings Brochure (max 25)
603005	Excalibur Rewards Brochure (max 10)
603476	Gold Medal Quality Program (max 10)
604711	Metal Retrofit 4-page Brochure (max 10)
605187	Re-roofing Guide (max 25)
605139	Rooftop Recycling Program Brochure (max 25)
604620	TrueRoof Cost Sell Sheet (max 25)
606376	V-Learning Sell Sheet (max 25)
606377	King's Court Sell Sheet (max 25)

Enter Security code from above

eNews Signup