ONLINE SUBMISSION FORM

Fill in what is needed, leave blank whatever does not apply or enter N/A.

DONOR INFORMATION
Full Name:
Phone #:
Alt. Phone #:
E-mail:
Address:
City:
State:
Zip:

ITEM SPECIFICS
 
Check If Fair Market Value Consideration Desired
Boat Year:
Boat Make:
Boat Model:
Boat Length:
Boat Beam:
Vessel HIN:
Trailer VIN:

ITEM LOCATION
IF BOAT MUST BE MOVED IMMEDIATELY, BY WHEN:
Where is the boat currently located? Residence Marina Storage Facility
Boat is:
On Trailer
Dry Docked
 In Water
On Blocks
Name of Marina / Storage Facility:
Address:
City:
State:
Zip:
Phone #:
Monthly Fees:
Any Outstanding Fees, How Much?:

TRAILER SECTION
Are you including a trailer? Yes No Unknown
Does the Trailer have a title? Yes No Unknown
Does the Trailer have a registration? Yes No Unknown
Trailer Make/Model:
Trailer equipped with:
Rollers
Bunk Boards
Electric Winch
Hand Winch
Tie Downs
 Spare Tire
Tongue Extension
Trailer Jack
Bearing Buddies
Brakes
Does the Trailer have any flat tires?
Does the Trailer have any rust? Yes No Unknown

ALL BOATS
Primarily Used In: Fresh Water Salt Water Unknown
Hull Material:
Steel
Aluminum
Fiberglass
 Wood
Composite
Ferro Cement
 Inflatable
Plastic
Unknown
Hull Condition: Good Poor Unknown
How many does your boat sleep?
When was boat last used?
Title / Registration / USCG: Yes No Unknown
Recent Paint / Cleaning: Yes No Unknown
If yes, when?
Floor Condition: Good Poor Unknown
Transom Condition: Good Poor Unknown
Does Vessel include a Cover? Yes No Unknown
Engine Included? Yes Both No/Unknown
Outdrive/Sterndrive Included? Yes Both No/Unknown
Engine Type:
Inboard
Outboard
I/O
 Replaced
Repaired
Unknown
Number of Engines? Single Twin
Engine Year if Included?
Engine Make:
Engine Model/Horsepower:
Does the Engine Run? Yes No Unknown
Is Engine Winterized? No Yes Unknown
Started in Last? 6 months 1 - 2 years 3 years or more Unknown
Primary Fuel: Gas Diesel Unknown
Fuel Capacity:
  Comments on Engine:
Date Repaired/Replaced: 6 months 1 - 2 years 3 years or more Unknown
Will New Fuel Be Needed? Yes No Unknown
Will Bottom/Impellers Need to be Scraped/Cleaned? 6 months 1 - 2 years 3 years or more Unknown
Last Cleaning? 6 months 1 - 2 years 3 years or more Unknown
My Boat comes with:
CB Radio
GPS
Depth Finder
Fish Finder
Generator
Hot Water
 Compass
Head
Life Jackets
Microwave
Refrigerator
Stove
 Galley
Bilge Pump
Gas Cans
Live Well
List any Additional Items Here:

SAILBOATS ONLY - FILL THIS SECTION OUT
Sailboat Type:
Cruiser
Dinghy
 Racer
Daysailer
 Other
Unknown
Keel Type:
Fixed
Removable
 Swing
Retractable
 Shoal
Twin
 Unknown
Draft of Boat:
All Sails Included? Yes No Unknown
Comments on Sails (Condition, etc.):
Rigging Type:
Ketch
Schooner
 Sloop
Cutter
 Yawl
Other
 Unknown
All Rigging Included? Yes No Unknown
Sailboat Includes:
Backstay
Barometer
Boat Hook
Boom
Boom Vang
Bowsprit
Cleats
Deck Brush
Dinghy
Flares
Forestay
Genoa
 Halyards
Horn
Jib
Knotmeter
Mast
Main Sail
Main Sail Cover
Mizzen-Mast
Navigation Lights
Outboard Mount
Oars
Roller Furling
 Rudder
Reefing Lines
Sail Bags
Sail Covers
Self-Tailing Winches
Solar Panels
Spinnaker
Spinnaker Pole
Spreaders
Stays
Storm Jib
Tiller

ALL BOATS - EXTRA COMMENTS
Extra Items:
  Recent Work or Repairs / Extra Vessel Parts:
  Detail any known damage/repairs needed. (i.e. - hull/deck cracks/damage, soft/rotted flooring/deck, broken components):
  Trailer Notes:
 
NOTE: BY CLICKING SUBMIT you the Donor appoint Deed of Gift / Electronic Power of Attorney to Boat Angel and appointed Agents for any and all title applications, corrections, statements of error to allow the charity to process vessel transfer.

 
This donation is blessed. The donors are blessed and the boats, engines and trailers are blessed as well. This is proclaimed in Accordance with Deuteronomy 28:1-14.