Become A PolyLevel® Dealer

Please fill out the form below to find out how to become an authorized Foundation Repair Dealer:

*= Required Fields
* First name
* Last name
* Street Address
* City, * State, * Zip
* Phone1, Phone 2
* Email Address
* Your Occupation:
* Current Business name:
* Partner or Full Owner?:
* What type of business are you in?:
* How many years in business?:
* How many people do you employ?:
* Do you currently perform foundation repair?:
* Have you worked with any Basement Systems Dealers? (if so who):
* Your Website Address:
How did you hear about us?:
Questions/Comments:

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