2020 AIS Boater Appreciation Raffle Survey
*YOU MUST PRESENT YOUR INSPECTION/RAFFLE RECEIPT TO CLAIM ANY PRIZES
Boater Information
First Name *
First Name
Last Name *
Last Name
Address *
Street Address
City *
State *
Zip Code *
Email Address *
Please tell us your age
Clear selection
Are you
Clear selection
Inspection Information
Inspection Date *
Enter the Date of Inspection (on front of yellow receipt at top)
MM
/
DD
/
YYYY
Watercraft Seal Serial # *
Enter the Watercraft Seal Serial # or indicate Receipt Only if no number provided (on front of yellow receipt at top)
Watercraft Information *
Enter your Watercraft Registration # OR your Trailer or Vehicle Plate # (found on front of yellow receipt at top)
Please enter your raffle number. *
(Found on the back of your inspection receipt at the bottom of the raffle information)
How did you learn about Wyoming's aquatic invasive species (AIS) boat inspection requirements? *
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