| Customer Info: |
| * Your Name: |
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| * Email: |
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* Phone: |
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| * Address: |
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| * City: |
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* State: |
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* Zip: |
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| Boat Info: |
| * Year: |
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* Make: |
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* Model: |
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| Please answer all questions that apply to your boat: |
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| Please list all other equipment and specific information on all equipment such as model numbers and any other pertinent information: |
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| Do you have complete Owner's Manuals? |
Yes No Some |
| Do you have complete mechanical service records? |
Yes No Some |
| Is there any remaining manufacturer or other warranties left on the boat, engine, trailer or systems? |
Yes No |
| If so, describe: |
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| Are there any work orders pending or service due now? |
Yes No |
| When was the last oil change? |
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| When was the last engine tune-up? |
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| When was the last stern drive or transmission service? |
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| Have the engines, transmissions or stern drives been rebuilt or overhauled at any time? |
YesNo |
| If so, describe: |
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| Have you ever had a marine survery performed on this boat? |
Yes No |
| If so, do you have a copy of this survey that you can provide? |
Yes No |
| When was the hull most recently inspected for osmotic blisters, stress cracks, stringer integrity or moisture intrusion? |
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| What were the results of the inspection? |
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| Has an epoxy barrier coat been applied to the bottom? If so, when? |
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| Has this boat ever been sunk or damaged to require structural hull or deck repair? |
Yes No |
| Are there any deck, window or any other leaks in the boat? If so, describe: |
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| Please list any other additional information: |
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| * These fields are required |
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