CFD Dive Equipment Service Form

Full Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail*

Notes: Regulator problems you are experiencing

Regulator Serial #

Regulator Brand/ Model

Notes: Computer problems you are experiencing

Computer/Transmitter Make & Model

Notes: BCD problems you are experiencing

BCD

I agree to have a CFD Technician perform any service that is required to bring the above equipment in safe and working condition. I understand I am responsible for any costs including parts and labor.

My Products*

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Your understanding and cooperation in completing this form is greatly appreciated. Unless we encounter some unanticipated problem, we will complete the work requested and have your equipment ready for pick-up as soon as possible.
Please understand that it will also be your responsibility to test this equipment when you receive it back to confirm the service was performed to your satisfaction. All work is performed by Certified Technicians.

By signing I am stating I agree to all of the terms and conditions and authorize Cruise Fish Dive to charge for service and repair of my equipment. If my equipment can't be repaired I am responsible for any labor performed. Equipment left for more than 30 days will incur a minimum storage fee of $75 and $25 per month after. If not claimed within 90 days, I authorize CFD to dispose of or sell my equipment.*