Boat Donation Information Form

So we can develop a program that best suits your personal and financial requirements, please provide us with the following information. We are also happy to work with your accounting, tax and legal advisers. All information is held in the strictest of confidence.

Name:
Address:
City:
State:
Zip:
E-mail:
Phone:
Fax:

Please tell us about boat you would like donate:

Vessel Type:	Sailboat Powerboat
Builder:
Year:
Model:
Hull Material:
Length:
Beam:
Draft:
Engine:
Engine Hours:
Fuel Capacity:
Water Capacity:
Vessel Location:
Condition:
Est. Market Value:
Current Insured Value:
Date of Last Survey:
Value on Last Survey:

Please describe the layout of the vessel:

Please tell us where you heard about us:
Web search	Print advertising
Your broker	Previous donor
A friend

To submit your information, press "Submit."
We'll contact you as soon as we've reviewed your information.
Thanks.

Pacific Marine Foundation, Inc. • 1900 W. Nickerson, Suite 116, Seattle, WA 98119-1661 • Phone: (206) 298-3377 • Fax: (206) 260-7519
Email: info@pacificmarine.org

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