Expansion Joints for Parking and Stadiums--THERMAFLEX Sample Request Form

Structural Expansion Joints and Joint Sealants by EMSEAL

1-800-526-8365 -- 508-836-0280 -- techinfo@emseal.com -- Fax: 508-836-0281

Last modified: January 05, 2009

Founded 1959.
In North America since 1979.

29-year member: Sealant Waterproofing and Restoration Institute. What is SWRI?

THERMAFLEX TM System

THERMAFLEX TCR System

THERMAFLEX Sample Request Form

In order for EMSEAL to process your request for a THERMAFLEX sample please provide the information requested below and click "Submit" only once.

Please note that ALL FIELDS are REQUIRED in order for us to ship you a sample.
Missing information could delay processing.

Thank you.

Your Name:

Your Company:
Street Address:
City:
State/Prov.:
Zip Code:
Phone Number:

If it's easier for you than filling in the individual fields above, simply copy and paste your shipping address from another document into this box:

THERMAFLEX Model: (Use "Ctrl"+click to highlight more than one item)

Approx. Joint Size:

Your email address:

Optional: Project Name:

Optional: Comments/Questions: