Date
Boat Basics
Donor Name
Boat Make
Address
Boat Model
City, State, Zip Code
Boat Year
E-mail Address
Boat Length
Home Phone
Boat Type
--Select--
Cruiser
Cuddies
Bow Riders
Pontoon
Deck Boat
Jet
Motor Yacht
Bass Fishing
Center Console
Sailboat
Cellular Phone
Hull ID#
Trailer Description
Trailer Make/Model
Trailer Included
--Select--
Yes
No
No. of Axles
--Select--
1
2
3
Operational
--Select--
Yes
No
Title
--Select--
Yes
No
Lights Work
--Select--
Yes
No
Ball Size
--Select--
1 & 7/8
2
2 & 5/16
If not operational please decribe the problem
Boat Location & Storage
Boat Located at
--Select--
Marina
Storage Facility
Residence
Boat is
--Select--
On a Trailer
Dry Docked
In Water
On Blocks
On a lift
Marina/Facility Name
Contact Name
Address Where Boat is Located
Contact Phone
Can be stored at Current Location For
--Select--
One Week
Two Weeks
Month
Indefinitely
Title & Registration of Boat
Boat Title Available
--Select--
Yes
No
Coast Guard Documented
--Select--
Yes
No
Lein Against Boat
--Select--
Yes
No
Boat Registration Available
--Select--
Yes
No
State Where Titled
Lein Amount
Boat Condition and Details
Motor
Motor Type
--Select--
Outboard
Inboard/Outboard
Inboard
Number of Motors
--Select--
1
2
3
Does Motor(s) Run
--Select--
Yes
No
Engine Make
Port Motor Hours
Starboard Motor Hours
Fuel Type
--Select--
Gas
Diesel
Horsepower
Outdrive Model
Boat Exterior
Hull Type
--Select--
Fiberglass
Aluminum
Steal
Wood
Other
Hull Condition
--Select--
Excellent
Good
Fair
Poor
Repairs Needed
Soft Spots on Deck
Bow
Starboard
Port
Stern
Engine Area
Below Seats
Upholstery Condition
Excellent
Good
Fair
Poor
Faded
Cracked
Torn
Mildew
Description of Rigging and Sails
Canvas Condition & Type
Excellent
Good
Fair
Poor
Bimini Top
Full Enclosure
Bow Cover
Cockpit Cover
Bridge Enclosure
Boat Cover
Torn
Faded
Accessories/Other
Auto Pilot
Anchor
Shore Power
A/C
Dock Lines
Live Well
Teak
Fish Finder
Depth Finder
Swim Ladder
Life Jackets
Bumpers
Generator
Spot Light
Bait Tank
Storage
Ropes
GPS
CB/VHF
Swim Step
Radar
Boat Interior
Upholstery Condition
Excellent
Good
Fair
Poor
Faded
Cracked
Torn
Mildew
Entertainment
Television
Stereo/CD
DVD/VCR
Stereo/ Cassette
Gallery
Refrigerator
Stove
Microwave
Gas Stove
Electric Stove
Alcohol Stove
Sleeps
--Select--
1
2
3
4
5
6
7 or More
Further Descriptions and Explanations
Sail Boat Information
Type of Sailboat
--Select--
Cruiser
Dinghy
Racer
Catamaran
Daysailer
Type of Keel
--Select--
Fixed
Removable
Swing
Shoal
Twin
Is the Sailboat Operational
--Select--
Yes
No
Sails
Genoa
Jib
Storm Jib
Main Sail
Spinnaker
Top Sail
Describe in as much detail the sails that are included with the vessel and their Condition
Rigging
Ketch
Schooneer
Sloop
Cutter
Yawl
Other
Describe in as much detail the type of rigging and its condition
Additional Information
Further Descriptions and Explanations
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