CENTRAL PENNSYLVANIA MASONRY BLOCK COUNCIL, INC.
RR2, BOX 432
CATAWISSA, PA
17820
PHONE:
570.339.4570 OR 570.837.1744
Limited Guarantee Information
Homeowner: First____________________M.I.___
Last_________________________
Street
Address: _________________________________________________________
City:_____________________________State:__________________Zip____________
Phone
No.:___________________
Date
of First Purchase:______________________________
Home
Builder: Name:_________________________________________________
Address:_______________________________________________
Phone
No.:_____________________________________________
Mason
Contractor Name:_________________________________________________
Address:_______________________________________________
Phone
No:_____________________________________________
Registration
Fee:
10 years - $60.00 __________ 15
years - $100.00 ___________(check one)
Checks
Payable to: Central Pennsylvania
Masonry Block Council
Supplier
of Masonry Products:_____________________________________________
Linear
Footage of outside of Foundation:_____________________________________
Serial
No. of Guarantee:__________________________________________________
