Canaline Engine Warranty Form

Date of Sale (required)

Date of Installation (required)

Owners Name (required)

Owners Address

Owners Mobile Number

Owners Email address (required)

Dealer/Sellers Information
Dealer / Installer (required)

Dealer / installer E-mail address (required)

Dealer / installer contact number (required)

Engine Information
Engine Type (required)
Canaline 25Canaline 38Canaline 42Canaline 52Canaline 60Canaline 70TCanaline 82
Engine number (required)

EP serial number(required)(starts EP. )

Gearbox Type (required)
PRM 60PRM 90PRM 125PRM 150PRM 280
Gearbox number (required)

Boatbuilder information
Boatbuilder (required)

Boat length and width (required)

Boat Name

Location of Boat (required)

Please upload various photos, so we can keep a record of the installation (max file size is 1mb per picture)
Please upload photo (top view)

Please upload photo (Port view of engine)

Please upload photo (starboard view of engine)

Please upload photo (Control panel, including location of panel)

Please upload photo (overall picture of boat)

Any comments