Condition Report - Performance Epoxy Coat

Dear valued customer,

At Performance Industries, Inc. would like to thank you for your business and wish
to assure you that we are always working toward improving our products and customer support.
We recognize that certain unfavorable conditions may happen when applying a high performance
floor coating of any type; this unfortunately is not uncommon even with the largest
manufacturers/installers in the world. We request you fill out the form below completely and be
as detailed as possible. This information is essential in determining the problem and solution to
your immediate concern benefiting us in making our product easier and better for our customers
in the future.

It is mandatory this form be filled before any steps can be taken regarding warranty or customer
service issues. Thank you for understanding. Performance Industries, Inc.