Trailer Pick Up Request

LHM TRAILER PICK UP REQUEST

2026
Contact Information
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email:
example@example.com
Are you a new customer? (Leave unchecked if you are a returning customer)
Street Address
City
State
Zip Code
What type of boat engine do you own:
Boat Year:
Boat Make:
Malibu, Viaggio, Lund, Bayliner, Etc.
Boat Model:
23 LSV, X20U, 1650 Rebel, Etc.
Boat Length:
Trailer Make:
Trailer Plate Number: (Leave blank if you do not know)
Requested date to have your trailer pulled out to perform services (this will be the earliest date the trailer will be pulled out)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
How is your trailer leaving LHM
Pick up plan:
Other
Location (Drop off address)
*** There will be a fee if LHM is required to drop off your trailer based off of distance. Please provide full address for LHM quote. ***
What day will you be picking up your trailer? (Select dates available)

MonthDayYear
2 digit month, 2 digit day, 4 digit yearLHM will have your trailer ready for pick up at 9am on the date you select for pick up.
Services Requested

The service department will reach out if there are any questions.
Service requests:
Signature
I acknowledge if any information is incorrect/needs to be changed/etc. I will need to resubmit the form.
I acknowledge that I need to pick the trailer up on the exact date I select. If I need to change my pick up date I will be to submit a new form.
The date that I have selected above is trailer drop off date or the date we will start to work on your trailer. ***This is not same day service.*** If your trailer requires complex diagnosing, parts we don't have in stock, etc. Each service request can potentially have different repair times.
Warranty Disclaimer: If you have a new trailer in which you believe is needing a repair covered under the manufactures warranty please understand that we are able to repair, replace, etc. what the manufactures directs/approves us to do so. Information on warranty coverage can be found in owners manual. We don't stock all parts possibly needed to fix potential problems and are only provided parts by manufacture once we are able to diagnose per their guidelines. Parts are expediated per manufactures determination.
Should be Empty:

LHM TRAILER PICK UP REQUEST

Contact Information

How is your trailer leaving LHM

Services Requested

Signature