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Customer Service

Online Warranty Registration

Click here to download
Repair / Maintenance Form
PDF 325Kb

Name


First


MI


Last

Address


Street


Apt #


City


State


Zip/Postal Code


Country

Phone


Include Area Code

Email Address

Date of
Purchase


Month


Day


Year

Regulator
Serial #


[ Where do I find the regulator serial number ?]
Purchased
 from


Authorized Dealer


Dealer's Address

Model Number

170

300 - Nitrox

300

600 - Twin

Submersible Systems would like some additional information about you as a SCUBA Diver to help us better understand our users.  Although this is optional, we request you answer honestly and completely.
Number of Years Diving? Less than one year
1 - 3 years
4 - 6 years
7 + years
Average Number of Dives per Year? 1 - 12 dives per year
13 - 25 dives per year
26 - 50 dives per year
51 - 100 dives per year
100 + dives per year
Certification Level?
Advanced
Open Water
Rescue		 Instructor
Divemaster
Other
Age Group?
Under 18
18 - 25
26 - 35		 36 - 45
46 - 50
51 +
Sex?
Male   Female
What influenced your purchase?
(Check all that apply)
Magazine Editorial
Magazine Ad
Store Personnel
Instructor		 Brochure
Dive Buddy
Store Display
What SCUBA diving magazines do you regularly read?
(Check all that apply)
No Subscriptions
Rodales Scuba Diving
Dive Training
Sport Diver		 Other
Occupation?
Why did you purchase
Spare Air?
What would you improve or do you have any feedback about the product?
What do you like best about your Spare Air?

Before submitting this form, please print a copy for your records.
Grey fields are optional.

                            

 

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