Regal LS4 - Page 8

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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:_____________
Selling Dealer: ________________________________________________________________
Address: _____________________________________________________________________
City & State: __________________________________________________________________
Phone: ______________________ Fax: ____________________________________________
Servicing Dealer: _______________________________________________________________
Address:______________________________________________________________________
City & State:___________________________________________________________________
Phone:______________________ Fax:______________________________________________
Vessel Information Sheet