*=required information. If you are uncertain about a required entry, please enter a ' ? '.

Delivery Information

*Vessel is to be delivered from:

*Final destination:

*Please enter the preferred date for vessel arrival at destination.

*When will the vessel be available for departure?

If you will be assisting, how many total in your party?

*Vessel Information

Motor Vessel Sailboat

Vessel name:



Year built

Year purchased

Draft (ft)

Bridge clearance (ft)


Single Twin

Gas Diesel


Engine hours

Engine manufacturer:

Fuel tank(s) total capacity (gal)

Consumption (gph) @

Cruising speed (knts)


Bow Thruster , Electric Windlass , Generator , Autopilot , Radar , GPS , Chartplotter , VHF , AIS Receiver , AIS Transponder , Magnetic Compass , SSB , Bimini , Rain Enclosure Panels , Dodger , Spinnaker , Dinghy , Dinghy Motor , Currently Certified Liferaft , EPIRB

Contact Information



*Phone number(s):

Please contact me by (check one or both): Email   Phone

For phone contact, what is the best time of day?

Additional comments and/or questions:

How did you hear about US DELIVERY CAPTAIN?

Web Broker Friend/Coworker Previous Client Other

Your information is never shared with third parties.