Basta Dealer Warranty Claim
What is the name of the dealership?
*
Name of person completing form
First Name
Last Name
Did you speak with anyone at Basta Boatlifts regarding this claim?
No
Yes
If yes, please provide the Basta employee name and/or department.
Enter name
Email
*
Enter an e-mail for a copy of the RA
Customer Name
First Name
Last Name
What is the serial number?
*
If the serial number is missing, enter lift capacity found on H frame sticker
What is the year, make and model of the boat?
*
What date was the lift installed?
*
-
Month
-
Day
Year
Date
What date did the damage occur?
*
-
Month
-
Day
Year
Date
Describe the damage and cause, if known
*
List all corrective actions/test(s) that have been performed so far
*
Please upload photo(s) of damaged product
*
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Please upload copy of invoice, if you have it
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Additional comments
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