Order Form – Revolutionary Shower Systems

CUSTOM SHOWER PAN ORDER FORM

Company Name*

Contact Person*

Phone Number*

Email Address*

Billing Address:*

Street Address Address Line 2 City State ZIP Code

Shipping Address:*

Street Address Address Line 2 City Select State ZIP Code

Select Series:*

RSS HD Series - RSS Premium waterproofing sheet membrane has to be applied to RSS HD series (bare foam) products such as shower pans, curbs and benches
RSS Pro Series - Has fiberglass mesh and cement coating on both sides. With a topical waterproofing membrane that has 3 coats applied

Click to see RSS Pro Series Video

Add Wallboard Slots?*

Add Curb? (Size: 4” H x 4-1/2” W x 60” L)*

Add Curb? (Size: 4” H x 4-1/2” W x 60” L)*

How Many Corners?

Outside Corners

Inside Corners

Do You Need Banding?

50LF of 5” banding, choose quantity of rolls

100LF of 5” banding, choose quantity of rolls

Select Drain:*

Upload

Drop files here or

jpg, jpeg, png, gif, pdf, ai, psd, doc, docx, ppt, pptx formats only

Additional Items Needed

Signature*

Digital Signature Confirm, Type Name*

By signing this this document, you agree that all information provided are accurate and you are entirely responsible.

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