Watermakers, Inc. Parts Form

Watermakers, Inc.
2233 South Andrews Avenue
Fort Lauderdale, Florida 33316

Please print this form and fill in the necessary information.

Vessel Name:  ___________________________________ Telephone:___________________
Captain's Name:__________________________________ Telephone:___________________
Owner's Name:___________________________________ Telephone:___________________
Address:_______________________________________________________________________
City: _________________________ State: _________ Zip: __________
Vessel Location:________________________________________________________________
Vessel Make:____________________________________ Vessel Length:________________
Watermaker Model:______________________________________________________________
Serial:_____________________________
Problems Reported: ______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Service Comments: ______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
PAYMENT Cash: ____  Check: _____  (check one)
  Visa       M/C      AMER EX.  (circle one)
  Credit Card #: ______________________________ Exp. ______/______
BILL TO: OWNER: ____________________________________________________
  Address: ____________________________________________________
  Yacht Mgmt. Co.: ______________________________________________

We are here to help you with your parts order, Monday through Friday, 8 AM to 5 PM EST.
You are welcome to phone us at (954) 467-8920 or fax us at (954) 522-3248.