Please send me an information packet in the mail. Yes No

If YES, please include your full name and address in the information below.

Are you interested in making an outright donation or a bargain sale cash offer ?

CONTACT INFORMATION:

Full Name:

Street Address:

City: State: ZIP:

Best contact phone number: Alternate contact number:

Email address:

VESSEL DESCRIPTION AND INFORMATION (the more the better):

Year: LOA:

Beam: Draft:

Manufacturer: Model:

Style: Motor: (Please Select One) Yacht with cockpit Yacht without cockpit Sedan/Convertible Express High Performance Trawler Pilothouse Open Fisherman Freshwater Fishing Saltwater in shore fishing Saltwater offshore fishing Sport Fisherman Downeast Houseboat Antique/classic Small Cruiser Runabout Catamaran Narrowboat Pontoon Tender Super Yacht Sail:: (Please Select One) Racer Cruiser Cruiser/Racer Cockpit Multi-hull Motor Sailor/pilothouse Deck Saloon Day Sailer/Weekender

Construction: (Please Select One) Fiberglass Wood Steel Other

ENGINE(S):

Fuel: (Please Select One) Gas Diesel How Many: (Please Select One) Single Twin Triple Quads Other

Manufacturer: Horsepower:

Type: (Please Select One) Inboard Outboard Inboard/Outboard Other

Comments about the engine(s)::

Location of Vessel: CITY: STATE:

Please rate the general condition of your vessel, with 1 being unusable and 10 being pristine: (Please Select One) 1 2 3 4 5 6 7 8 9 10

OVERALL COMMENTS:

Please click the Submit button only once, even if your information remains on screen.

Thank you for your donation!