Basta Boatlifts 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? Please enter their name or department.*
If no, please type "no" or "n/a"
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 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*

Browse Files

Cancelof
Please upload copy of invoice if you have it

Browse Files

Cancelof
What is the year, make and model of your boat?*
Additional comments if necessary
Should be Empty: