Register a Home

BUILDER INFORMATION

Member Registration Number:

Builder's phone #: *

Company Name: *

Address: *

Dry Basement Warp

Delta

Platon

Super Seal

OtherOther

Paid by Builder $235

Offer to Owner $235

2 Year Envelope Warranty (full Tyvex system or similar required)

Paid by Builder $80

Offer to Owner $250

Warranty

1 & 5 Year Warranty

1 & 8 Year Warranty

Extend Warranty to 10 years ($400.00 + HST or GST)

5 Year Structural Warranty

Please send my confirmation memorandum to:

Fax

Email

Banker, Realtor, Etc Email

Fax:

Email: *

Banker, Realtor, Etc Email:

HOME INFORMATION

Type of Registration and Fee (Per Unit)

Single Unit or Row Townhouse- Regular Member (R) ($499+ HST or GST)

Singe Unit or Row Townhouse - Probationary Member (PB) ($599 +HST or GST)

Semi - Detached / Duplex ( Same as Single- Per Unit)

UNIT DETAILS

Civic # or Lot #: *

Street: *

City: *

Province: *

Start Date:

Check all that apply:

PRE-SOLD

ON SPEC

Type of Building:

Site Built

Pre- Fabricated

Manufactured

Walkout Basement

Below grade exposed exterior entrances (Not Permitted)

Foundation: (Click all that apply)

Concrete

Footing on undisturbed Soil

Footing on Compacted Fill (Engineer form required)

Exterior Basement Entrance

Insulated Concrete Forms

Slab on Grade

OtherOther

Footings on compacted soils

Yes

No

Or, Undisturbed soils min. bearing pressure of 75KPa

Yes

No

Other / Special Instructions:

Filled Out By:

Agreement

The Builder agrees that he/she is responsible for the information on this form and the home unit registration in the Lux Residential Warranty Program.

Authorization

I declare that the information on this form is accurate and complete in all aspects. Missing information may result in denied coverage. By submitting this registration form I'm obligated to the warranty coverage.

To register a home, please use the provided forms below.

BUILDER INFORMATION

HOME INFORMATION

UNIT DETAILS