Boat Donation Form

First Name:

Last Name:

Address:

City:

State:

Zip Code:

Daytime Phone:

Alternate Phone:

E-Mail:

Boat Location

Check Here If Same As Above:

Address:

City:

State:

Zip Code:

Boat Information

Year:

Make:

Model:

Is Vessel On A Towable Trailer?:

Engine Type, Size, Condition:

Is Vessel Operational and Seaworthy?:

If No, Explain:

Do You Have Certificate of Title?:

If No, Explain:

Condition of Interior, Equipment:

Do You Have Title for Both Vessel and Trailer?:

Please check this box to receive a tax value. Someone will contact you within one business day or less. We thank you in advance for supporting our cause.