Basta Boatlifts Warranty Claim

Basta Boatlifts Customer Warranty Claim
Customer Name*

First NameLast Name
Name of person completing form, if not the lift customer

First NameLast Name
Did you speak with anyone at Basta Boatlifts regarding this claim?

NoYes
If yes, please provide the Basta employee name and/or department.
Enter name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Lift Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is your Mailing Address different than the Lift Address?
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Who was the lift purchased from?
What is the name of the dealership?
Who installed the lift?
What is the name of the installer?
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 your boat?*
What date was the lift purchased?

MonthDayYear
Date
What date did the damage occur?*

MonthDayYear
Date
When did the damage occur?*

While lifting a boatWhile lifting without a boatWhile lowering a boatWhile lowering without a boatOther
Briefly describe the damage and cause, if known*
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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Basta Boatlifts Customer Warranty Claim