#TYPE# "#BOATNAME#"
#LHOMEPORT#: #HOMEPORT#
| #LREGISTRATION# | #REGISTRATION# |  |
| #LCALLSIGN# | #CALLSIGN# |
| #LHIN# | #HIN# |
| #LMMSI# | #MMSI# |
| #LSAILNO# | #SAILNO# |
| #LINSURANCE# | #INSURANCE# |
| #LPOLICY# | #POLICY# |
| #LTYPE# | #TYPE# |
| #LBUILDER# | #BUILDER# |
| #LDESIGNER#. | #DESIGNER# |
| #LHULL# | #HULL# |
| #LCONSTRUCT# | #CONSTRUCT# |
| #LLAUNCHED# | #LAUNCHED# |
| #LYARDNO# | #YARDNO# |
| #LLOA# | #LOA# |
| #LLOD# | #LOD# |
| #LLWL# | #LWL# |
| #LBEAM# | #BEAM# |
| #LDRAFT# | #DRAFT# |
| #LDISPL# | #DISPL# |
| #LUSER1# | #USER1# |
| #LUSER2# | #USER2# |
| #LUSER3# | #USER3# |
| #LOWNER# | #OFIRST# #ONAME# |
|  | #STREET# |
|  | #ZIP# #TOWN# |
|  | #TELEPHONE# |

............................................................................. | .........................................................................
#LDATE# | Signature