Pre-Owned Boat Intake Form
Year
*
Manufacturer
*
Model
*
Length
*
Condition
*
Excellent
Good
Fair
Poor
Bottom Painted
*
Yes
No
Back
Next
# of Engines
*
Year
*
Engine Manufacturer
*
Horsepower
*
Engine Hours
Engine Type
2-Stroke Outboard
4-Stroke Outboard
Inboard
Inboard / Outboard
Back
Next
Current Boat Location
*
Date of Last Use (month / year)
Are you the original owner?
*
Yes
No
Has there ever been significant damage to the boat?
*
Yes
No
Please describe the damage that occurred.
Do you have a record of repairs made?
Yes
No
To your knowledge, are all systems currently operational?
Yes
No
Not sure
Please tell us about any systems that are not operational below:
Is there a trailer included?
Yes
No
Your Name
*
First
Last
Suffix
Email
*
Cell Phone #
*
Format: (000) 000-0000.
Additional Information / Questions:
Sign up for Port of Egypt's email newsletter?
Yes
No
Submit
Should be Empty: