INT-11
Introduction
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 #: ________________________
Sterndrive Serial #:
Key #:__________ Cabin Door: (If Applicable) ______________
Selling Dealer:
Address:
City & State:
Phone: ______________________
Servicing Dealer:
Address:
City & State:
Phone:
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