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
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?
*
Do you know the date of installation?
*
Yes
No
What date was the lift installed?
*
-
Month
-
Day
Year
Date
What is the approximate date the lift was installed?
*
-
Month
-
Day
Year
Date
What date did the damage occur or was discovered?
*
-
Month
-
Day
Year
Date
Describe the damage and affected parts, 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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