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#407 – 204 Cayer Street, Coquitlam, B.C. Canada V3K 5B1

I have read and understand the Limited Warranty and the Instruction Manual

and agree to the terms and condition

(please print)

Date.......................................................................................

Purchaser's Name.......................................................................

Address...................................................................................

.............................................................................................

SBQ - Large / Small

Model Name......

Serial Number...........................................................................

Date Of Purchase.......................................................................

Signature................................................................................

Name of Seller..........................................................................

Seller Location.........................................................................

Note: The warranty form can be filled out and sent from the

website:

www.dickinsonmarine.com

SINCE 1932

WARRANTY FORM

.........................................