Givens Life Raft Trade-In Program

Name*

Street Address

City

State Zip Code

Country

Daytime Phone* ext.

E-mail*

Do you currently own a boat? Yes No

If so, what type? Power Sail

What is your boat's primary use? Private Commercial

Please fill in the following information for Your current life raft:

Brand

Model

Date of Manufacture

Date of last service

Comments or Questions?