Annapolis Cruisair MAKING YOUR BOATING COMFORTABLE! Home Products Services Service Request Form Contact Us Service Request Form **We are REQUIRING all boats be vacant, Due to Covid. It being our busy season, it’s impossible to schedule time/appointments. If you can not leave the boat open/ available your service may be delayed. If this procedure does not work for you, we will refer you to one of our factory trained dealers.** IMPORTANT: PLEASE BE SURE TO INCLUDE THE FOLLOWING… • Your CREDIT CARD INFO. Your request WILL remain pending until we have this information. If your card declines or is missing information, there will be a delay in service until we get the correct information. ***Please be on the lookout for a follow-up email.*** • Please make sure all information for the tech, is on the form. • appliance info and location of the boat are a must. Please be aware: We REQUIRE a 24-hour cancellation notice. If our truck goes out to your vessel, you will not be reimbursed for the initial hour at the rate of $175.00. ALL cards are initially charged $175.00, this covers the first hour of travel and labor. Service Request Form: Thank you for your business! NAME (and/or company on credit card) * Billing Address * Address Line 1 Address Line 2 City Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State Zip Code EMAIL ADDRESS * PHONE NUMBER(s) * NAME on Boat * MAKE / MODEL / LENGTH * BOAT LOCATION AND SLIP # * KEY LOCATION / BOARDING INSTRUCTIONS: * APPLIANCE TYPE / SERVICE ISSUE * CREDIT CARD# -- EXP date -- SECURITY CODE * Submit CONTACT US Email info@annapoliscruisair.com Phone 410 224-0970 Address 2124 Renard Ct. Annapolis, Maryland 21401 Copyright © 2021 Annapolis Cruisair