Service Request Form

Please provide us with the following basic information, and a Conanicut Mairne Services representative will contact you shortly to discuss the next steps.




 
  Customer Information
  *First Name:
  *Last Name:
  *Day Phone:
  Fax:
  *Email:
   
  Billing Address
  *Street Address:
  *City:
  *State:
  *Zip:
     
     
  Please Select:
     
  Boat Information
  *Boat Name:
  *Make/Model:
  *Type of Motor: (Size & Year)
     
  *Service Requested:
(Labor Rate: $80/hr)
     
  Keys/Combo:
     
     
  *required field
 
 
Click on a company link below for more information on our suppliers and their products.

20 Narragansett Ave., Jamestown, Rhode Island, 02835 Phone: 401 423 1556 Fax: 401 423 7159