Warranty Activation Form

Full Name*

Street Address 1*

Street Address 2

City*

State/Province*

Zip Code*

Country*

Phone Number*

Fax Number

Email Address*

Boat Manufacturer*

Boat Model*

Boat Type*

Raritan Product Purchase Date*

2021
March

SunMonTueWedThuFriSat

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Raritan Product Purchased Where?*

Raritan Product Information

Model Number*

Serial Number*

Please take a minute to answer a few questions

How did you hear about Raritan?

How would you rate our website?

What trouble did you have with the website?

How would you rate our pricing?

How can we improve our pricing?

Additional Comments

ATTENTION END USER:

In an effort to provide exceptional customer service, we request that any questions or problems regarding Raritan products be directed to our service department – available:

Monday – Friday 8am to 5pm Eastern Time at 1-800-352-5630 or, on the web at www.raritaneng.com

Thank You for purchasing a Raritan product and for taking the time to complete this form. Our goal is to better serve you and your boating needs. We appreciate your business!

Sections: Technical Support