Customer & Contract Information
Please fill in or confirm the information below.
Environment [HIDDEN]
Customer Name
*
Customer Email
*
Customer Phone Number
*
Warranty Contract Number
Example: BTZ-123456-123456789
Boat HIN
*
Example: ABC12345D404
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Issue
Please briefly describe the issue
Description of the issue
*
When did the issue occur?
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Month
-
Day
Year
Date
Document Uploads
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Please provide, if applicable, photos of the damage, maintenance records, any relevant receipts, and the inspection report (if one was done at the time of purchase).
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Is the boat currently at a Service Center?
*
Please Select
Yes
No
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Service Center Information
Please provide the Service Center's information.
Service Center Company Name
*
If the Service Center is part of a Branded Network, please also include the location: (e.g. Company Name - Orlando)
Service Center Phone Number
*
Please enter a valid phone number.
Service Center Address
*
Service Center Email
example@example.com
Service Center Contact Name
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By signing, you agree that the provided information is correct and not fraudulent.
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