MALIBU KAYAKS WARRANTY CLAIM FORM

Please fill out claim form below, you can submit a file or photo via the submission section in the green section. To submit form click the submit
button on the bottom of the page.

• Company (optional)

  Retailer Sales Rep Retail Cutomer Category

  If Other, Please Specifiy Company Category

  First Name

  Last Name

  Phone

  Fax

  Email
  
• 
  Address
  Street Address

  Address Line 2 (optional)

  City

  Other 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 Brisbane Perth Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory Province / State

  Postal / Zip Code

  Canada United States Country
• 
  Kayak Details
  Invoice# or PO#

  Purchased From

  Purchase Date (mm/dd/yyyy)

  Incident Date (mm/dd/yyyy)
  Kayak Model
  Kayak Serial# "KPO"
  Kayak Color
  Yes or No Oringinal Sales Reciept
  
• Reason for Claim
  
  
  
  

  For Internal Company Use Only:
  Hull Failer	Hull Deformation	Manufacturing Defect
  Broken Product/Product	Broken in shippment	Disatissified with Quality
  Recieved Wrong Item	Recieved Short of Total	Other
  FOR INTERNAL USE BELOW
  Photos Recieved	Repair	Product Replaced	Credit Issued	Shipped Kayak Yes No
  Customer Rep	Date of Incident
  Accounting - Credit Request	Product/Repair
  Credit Memo#	Payment Collected	Invoice#		Total Amount Due
  Kayak Model	Kayak Color	Kayak Package
  Approved by
  Describe Reason for Claim
  Submit a file of photo! For more than 1 file or photo please submitt a zip file.