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Vessel Donation Form

Please provide the following owner information:

Owners Last Name
Owners First Name
Owners Middle Initial
Home Address
City
State
Zip Code	Vessel Information:
Power or Sail
Vessel Manufacture
Year	LOADraft
HIN
Year Of Engine	Engine Rebuild Date
Hull Material	Displacement
Vessel trailerable Yes or No
Weight of trailer and boat
Slip or Dry dock
Donor Signature and Date
Donor Signature and Date

 Please provide the following co-owner information

Co Owners Last Name
Co Owners First Name
Co Owners Middle Initials
Co Owners Home Address
Co Owners City
Co Owners State
Co Owners Zip Code
Model
Beam	Sail Area
Engine Make
Horse Power	Diesel or Gas
Date of Purchase          Purchase Amount
Date of most current survey Survey or Donation Value
Location of Vessel
If so is trailer included:
Trailer VIN
Storage through

Notary Public Signature and Date:

RESET FORM:

FOR YOUR CONVENIENCE PLEASE COPY AND E-MAIL, OR PRINT AND SEND VIA FAX TO:

Maryland Youth Maritime Academy, Inc.

P. O. Box 29943 - South Station, Baltimore, Maryland 21230-0943.

If you have any questions, please contact us at:

Tele/Fax (410) 715-1115 0r Tele/Fax (866) 415-6761.

Home Port Auctions Ship's Store

webmaster@marylandyouthmaritimeacademy.org
Copyright © 2003 [Maryland Youth Maritime Academy, Inc]
All rights reserved.  Revised: 06/07/06

We, the students of Maryland Youth Maritime Academy thank you for your donation.

You are Donor #