Enrollment Form
Please submit the information below to apply for enrollment in the Pratt & Lambert® Pro Contractor Rewards Program.
This program is for Professional Paint Contractors Only. Not open to the general public or owners or employees of paint retailers.
Personal Information & Rewards Mailing Address
PLEASE NOTE: The address you enter is where your rewards will be delivered. Please enter your complete mailing address to avoid delays in processing and delivery.
First Name*
Last Name*
Company Name*
Business Address*
City*
State*
Zip*
Phone*
DOB*
Account Information
Note: Please use your work email. This will be your program Username. Passwords must be at least 8 characters long and contain at least one letter and one number. Passwords should not contain any special characters.
Email Address* - your email address will be your Username
Confirm your Email Address*
Password* - this will be your rewards program password
Confirm Password*
True False False False
Retailer Details
Store ID*
Store Name*
Address*
City*
State*
Postal Code*
Questionnaire
To participate in the program you must read and agree to the following:
Check below if you would like to receive product information, special offers & promotions outside of this program, from our other families of brands: