North & South America  

Snorkel Satisfaction Survey

Free operators manual for filling out this form. Or you may print this page, fill it out and fax to 785-989-3077.

Please provide Part# for:
Manual   or Mod.   or Ser.#  

* Company Name
* Name
* Address 1
Address 2
* City
* State
  (If selected 'None', Fill in Province Field)
* Zip Code/Postal Code
* Phone

How did you hear about us?

Do we meet or exceed your service requirements?

Are we easy to contact?

Are you receiving our Monthly Special Flyers?

Yes  No

If no can we add you to our list?
(If Yes please provide Fax# or Email above)

Yes  No

Do you have a copy of our training schedule?

Yes  No

If no can we fax or mail you one?

Yes  No

Mail to the address above   

Fax to number above   

Are you aware that we accept MasterCard, Visa and American Express cards?

Yes  No

Are you aware of our Recondition and Repair programs?

Yes  No

Would you like to receive more information regarding the Recondition and Repair programs?

Yes  No

Please mail to the address above  Please fax to the number above

What can we do to better serve you?

Per your express consent, all information collected on this form (including but not limited to name, contact information and location data) will be used for communication purposes only relating to products and services offered by Snorkel. The information you provide will not be distributed, disseminated or shared in any manner to any other person or entity. Please refer to our Privacy Policy for more specific details.

* Required Fields


Please note that product specifications are subject to change without notice. Photos and diagrams used on this website are for promotional purposes only. Please consult appropriate Snorkel manuals for proper use.

Looking for specifications for an older Snorkel model? Search our comprehensive online brochure archive.

Snorkel, 2009 Roseport Road, Elwood, KS 66024, USA. Phone 785 989 3000, Fax 785 989 3070

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