Good Automatic Windlass repair form

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GOOD® Windlass Repair Form

Please Fill in information below and return the entire form to the factory with your GOOD® windlass.

Date:

Customer Information:

Name:

Address:

City:

State:
Zip Code:

Phone #:

Boat Information:

Boat Size:

Model:

Make:

Year:

Windlass Information:

Windlass Model:

Windlass Ser. #:

Repair Service Requested:

Service Requested:

Anchor Line Size / Length:
X

Shipping Address:

GOOD® Automatic Windlass, Inc.

357 Route 72

Barnegat, New Jersey 08005 USA

Attn: Service Department

Phone: N J 609-698-4402 ~ Outside NJ 800-780-4655

Fax: 609-698-3698 E-mail: service@goodwindlass.com

Web Site: www.goodwindlass.com

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GOOD® Windlass Repair Form
Please Fill in information below and return the entire form to the factory with your GOOD® windlass.

Date:
Customer Information:
Name:
Address:
City:
State:	Zip Code:
Phone #:
Boat Information:

Boat Size:		Model:
Make:		Year:

Windlass Information:
Windlass Model:
Windlass Ser. #:

Repair Service Requested:
Service Requested:
Anchor Line Size / Length:	X