Copies of Bill of Sale, most recent State Registration or Document, Bank Note, the Original Builder's Certificate & Original Bill of Sale will be required if applicable. A $75.00 non-refundable deposit will be required.

* Required Fields

Phone: 800-365-5636 Fax: 703-461-2853

Dealer's or Seller's Name:
Address:
City: State: Zip:
Daytime Phone:
BoatUS Member Number:
* Name of Boat Owner (President, if corporation) as Shown on Bill of Sale:
* Address:
* City: * State: * Zip:
Social Security Number:
* Daytime Phone:
* E-Mail:
Are You a US Citizen: Yes No
Name of Co-Owner:
Address:
City: State: Zip:
Social Security Number:
Daytime Phone:
E-Mail:
Are You a US Citizen: Yes No

Type of Ownership Desired:

Individual or Corporate
(% owned by each) No Survivorship
Joint Tenants with Right of Survivorship
Tenants by Entirety

Texas Only:
Community Property with Survivorship
Community Property No Survivorship
Each Owning % Interest, No Survivorship

What Do You Wish To Name Your Boat?
Purchase Date:
Built By:
Year Built: Inboard?
HP Length (minimum 27)
Hailing Port:
Most Recent Registration/Documentation #:
Type of Boat
Hull Material
Hull #:
Do You Have Orginal Builders Certification?
Yes No
Name of Bank Financing Boat:
Address:
City: State: Zip:
Phone Number:
 Loan Officer's Name:
If Corporate Ownership, Name of Corporation:
(Copy of Incorporation Will Be Required)
Corp. Address:
City: State: Zip:
Security Code:      Change Image
* Enter the Security Code above:             

To Email click Submit below or Print & Fax to: 703-461-2853. After reviewing your request one of our staff will contact you.


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