If you are unable to fill out the form below, download the document, print, complete, sign, scan, and send as an attachment in an email to firstname.lastname@example.org.
- Please fill out this form on behalf of any of the companies you supply certified foam or products containing certified foam to that want to register for permission to use the CertiPUR-US® trademarked name/logo/mark.
- There is no cost to you or your customer to register. Once registered, your customer’s company and brands will be listed in the CertiPUR-US® online directory.
- Form A is used by CertiPUR-US® administrators, in strict confidence, to verify the supply chain and maintain the credibility and integrity of the program.