3801 West 145th Street Burnsville, MN 55306

Service and Repair Request Form

BMR Service Request

Name

First Name

Last Name

Phone

Preferred Contact Method

Phone

Text to Phone

Boat/Motor Make and Model - Engine Type and Hours (if Known)

Year

Type of Service Needed (e.g., Routine Maintenance, Repair, Inspection)

Preferred Service Date - Urgency

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3801 West 145th Street

Burnsville, MN 55306

(952) 894-4888

parts@bmr1.com