Forms - PCM HO303 MPI Owner's Operation And Maintenance Manual

FORMS - 19

PROBLEM NOTIFICATION OR INFORMATION REQUEST FORM
IMPORTANT: All blanks MUST be completed to insure proper identifi cation of your engine which is necessary to
properly understand your request.
When completed, mail this form to:
Engine Model
Name
Address
City
Selling Dealer
Dealers Address
Date of Purchase
Gentlemen, I would like to inform you of a problem I have experienced with the above engine. My problem is:
My boat is located at
Address
City
Requestors Signature
84
Pleasurecraft Marine
PO Drawer 369
Little Mountain, SC 29075
Engine Serial Number
Owner Information
Boat Make
L510010-11
Gear Serial Number
Telephone ( )
State Zip
Length Type
Telephone ( )
State Zip
Date