APPLICATION FORMS | Propell Marine

OFFICIAL DOCUMENT

Marine Warranty Application Form

Complete all sections carefully. Accurate information ensures promp processing of your warranty claim.

SECTION 01

Personal Information

FULL NAME

IDENTIFICATION NUMBER

Address

PHONE NUMBER

EMAIL ADDRESS

SECTION 02

Retail Dealer Information

DEALER / RETAILER NAME

SALES AGENT NAME

DEALER ADDRESS

DEALER EMAIL ADDRESS

SECTION 03

Boat Details

BOAT MAKE AND MODEL

YEAR OF BOAT

HULL IDENTIFICATION NUMBER (HIN)

BOAT REGISTRATION DETAILS

SECTION 04

Engine Details

ENGINE YEAR

ENGINE MAKE AND MODEL

ENGINE SERIAL NUMBER

HOURS OF OPERATION

GEARBOX HOUSING SERIAL NUMBER (if applicable)

PHOTOS OF GEARBOX HOUSING

Add up to 3 images (JPG, PNG)

SECTION 05

Proof of Purchase

UPLOAD BILL OF SALE OR RECEIPT

Up to 1 file - Max 10MB per file (PDF, JPG, PNG)

SECTION 06

Service History

PREVIOUS MAINTENANCE RECORDS (if applicable)

Up to 3 files/images - Max 10MB per file/image(PDF, JPG, PNG)

DESCRIPTION OF ANY PRIOR ISSUES

SECTION 07

Media Uploads

PHOTOS OF ENGINE

Front, sides and serial number views - Add up to 5 images (JPG, PNG)

VIDEO OF ENGINE RUNNING

MP4, MOV

Section 08

Warranty Details

TYPE OF COVERAGE REQUESTED

1. NEW OUTBOARD MOTORS: 12 MONTHS PROTECTION

2. PRE-OWNED OUTBOARD MOTORS: 12 MONTHS PROTECTION

3. JET SKI AND INBOARD COVER: 12 MONTH PROTECTION COVER

4. DEALER PRE-OWNED MOTORS: 6 MONTHS PROTECTION

SECTION 09

Declaration & Signature

I, THE UNDERSIGNED, HEREBY CONFIRM THAT ALL INFORMATION PROVIDED IN THIS APPLICATION IS TRUE, ACCURATE, AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY MISREPRESENTATION MAY RESULT IN THE CANCELLATION OF THIS WARRANTY APPLICATION. I AUTHORISE THE PROCESSING OF MY PERSONAL INFORMATION FOR THE PURPOSES OF THIS WARRANTY APPLICATION AND AGREE TO THE TERMS AND CONDITIONS.

APPLICANT SIGNATURE

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.

DATE

By submitting this form you agree to our warranty terms and conditions.

A confirmation will be sent to your email address upon receipt.