Vessel Intake Form

Vessel Intake Details

Copyright Walrus 2024
Date

MonthDayYear
Date
Full Name*

First NameLast Name
Your Email
example@example.com
Relation to the Vessel?*

OwnerOwner's RepresentativeOther
Address Line 1*
Address Line 2
City*
Phone *

Area CodePhone Number
Fax

Area CodePhone Number
E-mail*
How did you hear about us?
Vessel Information
Approximate date available*

MonthDayYear
Vessel Name*
Attach at least five images of the vessel

Browse Files
Attach images pdfs or docs from your phone or desktop (max file size 10854KB) Cancelof
Location Line 1*
Location Line 2
City*
Make
Model
Year
Hours / Usage
Length / Class
Registration Number
Primary Hull Material

Overall Boat Condition

	1	2	3	4	5

1 is Bad, 5 is Like New

Overall Interior Condition

	1	2	3	4	5

1 is Bad, 5 is Like New

Working Trailer available?

YesNo
Attach picture of trailer if applicable

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Attach images or docs from your phone or desktop Cancelof

Condition Specifics