Refit
Repair
New Installations
Modifications
Schedule
Ward’s Marine Electric
617 SW 3rd Avenue
Ft. Lauderdale, FL 33315
954.523.2815
Phone
800.545.9273
Toll Free
954.523.1967
Fax
800.297.8240
Toll Free
Name:
Company Name:
Vessel Name:
Vessel LOA:
Vessel Location:
Brief description
of problem:
Type of Service Requested
Refit
Repair
New Installation
Modification
Electrical Survey
Corrosion Survey
Engineering
Where service
would be performed
(port or destination
of vessel if at sea):
When service is needed/requested: