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?
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?

Other
Briefly describe the damage and cause, if known
Please upload photo(s) of damaged product

Browse Files

Cancelof
Please upload copy of invoice if you have it

Browse Files

Cancelof
Additional comments
Should be Empty:

Basta Boatlifts Customer Warranty Claim