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Delivery Estimate Questionnaire
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Contact Information
Your Name
*
First and last
Your answer
Address
Your answer
City, State, ZIP
Your answer
Email
*
Your answer
Telephone
Country code (###) ###-####
Your answer
Intinerary
From
*
Current location
Your answer
To
*
Final destination
Your answer
Expected Departure Date
When you would like us to get underway
MM
/
DD
/
YYYY
Do you have a delivery completion deadline?
If so, please let us know in the comment field.
Yes
No
Clear selection
Will you be coming along?
Yes
No
Clear selection
Vessel Information
Vessel Name
Your answer
Make, Model, Year Built
Your answer
Current Condition
Please describe the general condition of the vessel and any known defects we should be aware of.
Your answer
Vessel Type
Choose
Power - Single Screw
Power - Twin Screw
Sail - Sloop or Cutter Rig
Sail - Ketch or Yawl
Sail - Other
Length
Feet or meters
Your answer
Width
Feet or meters
Your answer
Draft
Maximum draft in feet or meters
Your answer
Maximum Height
Above waterline
Your answer
Fuel Capacity
Gallons
Your answer
Fuel Consumption Rate
Gals per hour
Your answer
Optimal Cruising Speed
Nautical miles per hour
Your answer
Last Survey
dd/mm/yy
Your answer
Last Sailed
Date last sailed
Your answer
Equipment
Known to be operational
Radar
VHF
Plotter/GPS
Auto-pilot/Windvane
EPIRB
Current Charts
Questions and comments
Your answer
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