Regal 2000 ESX - Page 14

INT-14
VESSEL INFORMATION SHEET
Owner: ______________________________________________
Address: ______________________________________________
City & State: ___________________________________________
Home Phone: Business Phone: ________________
In Case Of Emergency Notify: ___________________________
Address: ______________________________________________
City:__________________________________State: __________
Phone: ______________________________________________
Insurance Agent’s Name: _________________________________
Policy#: _____________________________________________
USCG Phone: ___________ Local Police:
_____________________________________
Marina Phone: _________________ Slip (Dock#): ____________
Hull Serial #: RGM __ __ __ __ __ __ __ __ __
Key #:__________ Engine Serial #: ________________________
Stern Drive Serial #:
Key #:__________ Cabin Door: (If Applicable) ______________
Selling Dealer:
Address:
City & State:
Phone: ______________________
Servicing Dealer:
Address:
City & State:
Phone: