PREMIUM BROKERAGE

broker your boat with clemons

Owner's Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone Number
Email*
Boat Info
Year
Make
Model
Color
Expires
Date Format: MM slash DD slash YYYY
Engine Info
Year
Make
Model
Hours
Trailer Info
Year
Make
Model
# Axles
When is the last time you ran your boat?
Last replaced impeller?
Describe how it ran last.
Describe any and all issues with your Boat/Engine/Trailer.
Rating Key

Rate each of the following from 1 (Poor) to 10 (Excellent).
Overall Boat Condition
Fiberglass Condition
Gelcoat Condition
Upholstery Condition
Carpet Condition
Canvas Condition
Boat Electrical
Engine Mechanical
Steering Controls
Shift/Throttle Controls
Trailer Bunks/Carpet
Trailer Lights/Lenses
What equipment will you include with your boat:
What would make your boat a perfect "10"?
Do you own a transferable protection plan?
- Yes
- No
Protection Plan Company
Protection Plan Expiration Date
Date Format: MM slash DD slash YYYY
Do you owe money on your boat?
- Yes
- No
Bank
Balance ($)
Ideal Net Amount ($)*
The ratings above reflect, to the best of my knowledge, both the cosmetic and mechanical condition of my boat.*
- Yes
I understand that allowance adjustments may occur if my boat condition is different than represented upon inspection.*
- Yes

Exit Rt. 2 at Bay View, 8009 Barrett Road, Sandusky, OH 44870 TEL: (419) 684-5365 Contact Us

Sales Hours: Tuesday-Friday 9:00am-5:00pm, Saturday 9:00am-4:00pm, Sunday & Monday - Closed

Service Hours: Monday-Saturday 8:30am-4:30pm, Sunday - Closed

Rentals will be open on Sundays in season

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