Email:

First Name:

Last Name:

Title:

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Company:

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Street Address:

City:

Province/State:

Postal/Zip Code:

Country:

United States Canada Other

Phone:

               Fax: Optional

Hull Description (Approximate Size)

Select One 34'-11" x 14'-6" 34'-11" x 15'-0" 34'-11" x 15'-6" 34'-11" x 16'-0" 37'-0" x 15'-0" 37'-0" x 16'-0" 38'-0" x 16'-0" 39'-11" x 15'-0" 39'-11" x 16'-0" 39'-11" x 17'-6" 39'-11" x 18'-6" 42'-0" x 15'-0" 42'-0" x 16'-0" 42'-0" x 17'-6" 43'-0" x 17'-6" 43'-6" x 15'-0" 43'-6" x 16'-0" 43'-6" x 17'-6" 44'-11" x 16'-0" 44'-11" x 17'-6" 44'-11" x 18'-6" 44'-11" x 19'-6" 44'-11" x 20'-0" 44'-11" x 21'-0" 44'-11" x 22'-0" 44'-11" x 23'-0" 50'-0" x 18'-0" 50'-0" x 19'-0" 50'-0" x 20'-0" 50'-0" x 21'-0" 50'-0" x 22'-0" 50'-0" x 23'-0" Other     Other (Please Specify)

Fish Hold

None Insulated Non-insulated      None Pen boards No pen boards

Engine:

None 250hp 300hp 350hp 400hp 450hp 500hp 550hp 600hp 650hp 700hp 750hp Other     Other (Please Specify)

Reduction:

None 2:1 2.5:1 3:1 3.5:1 4:1 Other     Other (Please Specify)

Installation of Motor

Yes     No

Shaft

Yes     No

Tail Shaft

Yes     No

Bearings

Yes     No

Propeller

Yes     No

Batteries

0 2 4 6 8

Fuel Tanks (Gallons)

Choose One 200 200 400 600 800 1000 1200 1400 1600 Other (Please Specify)    Other (Please Specify)

Rudder & Stock

Yes     No

Steering

Yes     No

Bunks

0 1 2 3 4 5 6 7 8

Booth (Table)

None One in Wheelhouse One in Foc'le One in Wheelhouse & Foc'le

Cabinets

None One in Foc'le One in Wheelhouse One in Foc'le & Wheelhouse

Water Tanks

None 35 gallon 70 gallon 100 gallon 150 gallon 200 gallon 250 gallon 300 gallon More than 300

Stove

None Propane Oil Electric

Stove Tank

None Propane Oil

Electrical

None   12 Volt   24 Volt

Toilet

None Manual Electric

Half Oval

None Plastic Galvanized

Searchlight

Yes     No

Floodlight

0 1 2 3 4

High-water Alert

0 1 2 3 4

Wiper

Yes     No

Boat Name

Yes     No

Mast

None Small (8' - 10') Medium (10' - 12') Large (20' - 24') Other (Please Specify)    Other (Please Specify)

Sink

0 1 2 3 4

Safety Equipment

Yes     No

Anchors

Yes     No

Life Raft

None 4 Man 6 Man 8 Man 10 Man Ovateck

CO2 System

Yes     No

Pump

None Wash down pump

Electric Bilge Pump

0 1 2 3 4

Propeller Cage

Yes     No

Electronic

None Customer Supply Boat Yard Supply

Auto Pilot Installation

Yes     No

Installation of Electronics

None Electronic Supply Boat Yard Supply

Hauler

None 12" 14" 15" 17" Other    Other (Please Specify)

Derrick

Yes     No

Compass

Yes     No

Winch

None P1 P2 P3 P4 P5 P6 P7

Bus Heater

0 1 2 3 4

Boat Use

Please Check all that apply.
Lobster    Scallop    Crab    Pleasure   
Other (Please Specify)   

How soon do you need the boat?

Choose One Now 3 Months 6 Months 1 Year 2 Years Other (Please Specify)    Other (Please Specify)

Please state any special features

Additional Questions or Comments

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