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For all PRICING, ORDERS and ADDITIONAL INFORMATION please complete this form.

All inquiries will receive a confirmation notice and a reply.

Click on Submit when ready to send.

This form is used for our purposes to gain a greater knowledge about our customers and the people who may be interested in our sleds. It helps us in determining our customers needs and desires, and it helps us in making sure our product continues to meet their standards. It is only to be used for our purposes and none of the information contained herein shall be sold, given, or divulged without expressed consent of the responsible people filling out the form.

Thank you for spending a few minutes to fill out the form,

Extractor.

Your Name:

Company/Agency Name:

Email Address:

Mailing Address:

City/ State/ Zip

Country

Phone Number:

FAX #:

Do you currently use pwcs for rescue use within your agency?

Yes

No

In what manner do you use them?

Do you use them for Recreational Use and/or Tow-In Surfing?

Yes

No

Do you own your pwcs or do you have them through the Government Agency Loan Program?

own them

loaners

What brand of pwcs do you have?

What model year?

What hull model?

How many pwcs?

1-2
3-5
6-10
11+

Have you used sleds in the past?

Yes

No

What were your likes or dislikes about them?

 

How did you find out about Extractor Rescue Sleds?

Magazine Advertisement
T.V.
Search Engine
PWC Rescue Training Course
Colleague/Associate/ Friend
PWC Manufacturer/Dealer
Other

 

 

What interests you most about Extractor Rescue Sleds and what our sleds offer? What additional information would you like to see on our site that you were not able to obtain?

 

 

Please list any other comments or requests below. We will return your message as soon as possible.

Thank you once again for filling out our form,