Online Utah Boat Donation Form

Note: All fields are required ---Do not print this form--- For a printable form, hit the back arrow and select the "Printable Donation Form" button

Your Contact Information

Title:

First Name:

Last Name:

Company Name (Optional):

Mailing Address for receipt (boat location address to be entered below):

City:

State:

Zip:

Day Phone: Format: 000 000-0000
Area Code: Number:

Cell or alternate phone number

Cell Area Code: Number:

Email:

Verify Email:

Please Note: this email address will be used to email you your official
tax receipt, and for all correspondence with the Kidney Foundation.
Your email address will not be shared or sold.

Boat Location/Pickup Information
Is the boat located at the above address?Yes, Same as above

If not located at the above address, where is the Vehicle located? At the present time, only vehicles located within the state of Utah can be picked up.

If the Vehicle is located outside of the state of Utah please click here

Address of vehicle:

City that the vehicle is located in:

Vehicle location contact person if different from owner:

Contact Phone: Area Code: Number:

Vehicle Identification Information

Year:

Make:

Model:

Color:

Hours/Mileage:

Engine Type: InboardOutboardInboard/Outboard
Other

If other, please describe:

Engine Size (Liters/Cubic inches):

Is the trailer roadworthy?: Yes No

Vehicle Title Information

State of title:

Title Number / Utah Registration Number:

HIN (Hull #):

Note: If you do not have a clear title, please call our
office 9-5 M-F at 1-800-869-5277. We can help you
apply for a replacement title (Utah titles only).

Condition of boat

Does your boat run? YesNo

How long since the boat was in the water?

Do you have the keys? YesNo

Was the boat winterized before it was stored? YesNo

Upholstery/Interior Condition: Excellent Good Fair Poor

General Exterior Condition: Excellent Good Fair Poor

Overall Boat Condition: Excellent Good Fair Poor

Does your boat have any damage? Yes No

If yes, please describe.

Does the boat have a vinyl top? Yes No

If yes, what condition is it in? Excellent Good Fair Poor

What other accessories did the boat come with?

Do they work? Yes No

Comments / Additional Instructions

How did you hear about us?

Please tell us how you learned of us.

How else did you hear about us? (Optional)

Online Boat Donation