Repair Request

Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please Check If Applicable:

Dealer

Marina 2

Repair Center

Unit Problems (Check All That Apply): *

Won't Turn On

Broken Buttons (additional $50 fee)

Touch Screen Issues

Cracked/Broken Screen (additional fees apply per make and model - please email info@clearcastmarine.com prior to mailing in to ensure a screen replacement is available)

Other (please specify below)

Accessories Included With Unit

Power Cord

Mounting Bracket

Protective Cover

Other (please specify below)

I Accept (Terms & Conditions) *

Yes

I Accept (Warranty Policy) *

Yes