Boat Application

Please complete all the items below
Your Name
Your Mailing Address
Telephone Number
Your E-mail Address
Boat Manufacturer
Boat Model
Boat Year Constructed
Boat Serial Number
Boat Cost New
Use of boat including body of water navigated
Zip code where boat is moored or docked
Hull Material (fiberglass, wood, etc.)
Number of engines
Horsepower of each engine
Are engines? Inboard? Outboard? Inboard/outboard?
Length of boat
Maximum Speed under full power
Trailer (year, make and ID number)
Years experience as a boater
Your boat operator's license number
Name of other operators other than the applicant along with their age and boat operator license numbers.
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