Please fill out this form below. Once we receive this form, you will receive a free evaluation of your vessel for donation purposes within two to three working days.

Name
Address
City   State    Zip 
Phone#   Fax# 
email
Boat Name
Designer
Type and Rig
Make
Builder
Year
LOA   LWL  Beam  Draft  CB  Keel 
Hull Form
Displacement
Construction and Materials:
Hull     Deck    Superstructure 
Engine(s)   Year 
Fuel Tanks Water Tanks 
#Cabins #Berths         
Equipment:
Galley
Head(s)
Elec. System
Nav. Equip.
Sails
Boat's Location:
Does the boat have a trailer? Yes No
Charity:
Is there a particular charity you would like to support?
Other Comments:

Please rate the overall condition of your vessel on a scale of 1-10 (1=poor condition, 10=excellent condition)

 


Block Island Maritime Funding Inc.


Administrative Office
PO Box 95
42 Thames Street
Newport, RI 02840
Phone: 401.842.0752
Fax: 401.842.0251
info@blockislandmaritime.com