Service / Overhaul Information

Directions: (1) Type info into blank fields, (2) Print it out, (3) Send with Service Work.

BILL TO:
Name: Company:
Address: 
City:   State:   Zip: Country:
Phone:   Fax:
Charge Card:  (check one)      Visa            MasterCard           Amer.Exp.          Discover
Card Number:   Expiration Date:
 Cell:              Email: 
SHIP TO:  (if different from billing address)       AC Tail # or Boat Name:    
Name:    Company:
Address:
City:   State:   Zip: Country:
Phone:   Fax:
Cell: 

Note:  Service work takes approximately 2-3 weeks regular turnaround. We recommend that you call approx. 3 weeks after service work has been shipped to us to confirm that it has been completed and is being shipped back to you.

Please specify (in the space provided below) if you need your service work expedited and what date you need it back by.  We can expedite your work within approximately 2-3 days which is an additional 25% of the total cost.

Ship back (check one) UPS Ground        Next Day         Second Day           Third Day
Special Shipping Instructions:        
Signature:__________________________________                Date:
Ship To: 
Survival Products, Inc.
Service Department
5614 S.W. 25th Street
Hollywood, FL  33023
Ph:  (954)966-7329