Dealer warranty claim form
by JETSURF®
Board information
Watercraft Identification Number (CIN/HIN)
*
Example: CZ-MSRD1486M122 or JSUD1486M122 (On the back side of the Board.)
Model Name
Example: ADVENTURE DFI 2022
Type code (In invoice or DOC list)
Example: JA-B1
Dealer purchase date
*
-
Month
-
Day
Year
Date of purchase from MSR Engines s.r.o.
Dealer purchase invoice
*
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Invoice from MSR Engines s.r.o.
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Customer purchase date
*
-
Month
-
Day
Year
Date of sale to final customer
Customer purchase invoice
*
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Your invoice as a dealer to customer
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Whole board photo
*
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Watercraft Identification Number (CIN/HIN) photo
*
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Whole engine photo
*
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Customer information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Issue description
Describe your issue
*
Broken parts (If you know)
Broken part 1 - Photo/Video
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Broken part 2 - Photo/Video
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Broken part 3 - Photo/Video
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Broken part 4 - Photo/Video
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Broken part 5 - Photo/Video
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*
I Agree that I will not send any product or spare parts before confirmation from your side.
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Should be Empty: