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ESTIMATE FORM

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Apparent
Card Diameter:
3 1/2 inch
3 3/4 inch
4 1/2 inch
4 3/4 inch
5 inch
5 1/2 inch
6 inch
6 1/2 inch
8 inch
other:
Mounting
Style:
Binnacle
Deck
Flush
Bulkhead
Bracket
 
       
Describe Problem:: Bubble
Sticking card
Other (describe below)
   
       
Description of
Other problem(s)::
   
       
Manufacturer *    
Model number: *    
Serial number: *    
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