Freeman Marine Equipment, Inc.

AMT Technologies

888-FREEMAN  |  888-373-3626

Customer Service

We invite you to contact us by telephone at 1-888-FREEMAN (373-3626, North America only) or +1-541-247-7078 (Worldwide)
during business hours (8 a.m. ~ 5 p.m. Pacific Time). You may also elect to download this form in PDF format
and fax it to us at +1-541-247-2114 or email it (and any available digital images) to us at your convenience.

CUSTOMER SERVICE REQUEST FORM

If you are experiencing difficulty with one of our products, please take a moment to complete this form so that we can expedite your service request.

PRIMARY CONTACT INFORMATION:

Title and Name:
Date:
Phone Number:
Alt. Phone Number:
Fax Number:
Email Address:
Preferred Contact Method:             Email         Telephone       Fax 
Other 

PRODUCT IS CURRENTLY LOCATED:
Company Name:
Street Address:
City:
State:
Postal Code:
Country:
Phone Number:
Date product will no longer
be at this location::

IF PRODUCT IS ALREADY INSTALLED, PLEASE SUPPLY THE FOLLOWING:
Builder Name:
Boat Name:
Hull Number:

TYPE OF PRODUCT THAT SERVICE IS BEING REQUESTED FOR (check all that apply):

Cast Hatch:
Fabricated Hatch:
Hinged Door: 
Sliding Door: 
Window: 
Portlight: 
Custom Product: 
Other: 

DO YOU BELIEVE THIS ITEM'S SERVICE TO BE:

  Warranty 

 Non-Warranty

Need by date
for repair completion: 

DESCRIPTION OF OBSERVED ISSUE:

Pleaseemail any available digital images of the observed issue.
In the event that a Freeman Marine Representative has already been apprised of this issue,
please enter that representative's name here: 

We appreciate your assistance in completing this form
so that we can work together to determine a resolution in a timely manner.

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