Regal 2250 - Page 11

INT-10
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 #: _____________________
Outdrive Serial #:
Key #:__________ Cabin Door: (If Applicable) ___________
Selling Dealer:
Address:
City & State:
Phone: ______________________ Fax:
Servicing Dealer:
Address:
City & State:
Phone: Fax: