Stolen Vessel "Wanted Poster" Request Order Form

NOTE: A Police Report must be on file in order to use this feature.
Yes Post my stolen vessel flier on your homepage for a one time fee of $300.00.
NOTE: Print out the form and fax your order to:

Todd & Associates, Inc.
2390 Shelter Island Drive; Suite 220    San Diego, CA 92106
(800) 325-8061 Fax: (619) 223-8942  www.boatman.com  stolenboats@boatman.com

Photographs required (please mail overnight); if none available, manufacturer brochure photographs acceptable. Contact our office (we may have brochure photograph on file)

Please provide vessel specifications:
Enter Boat Name: Name on Vessel:  Yes     No 
Enter Boat Type:      Open Bow: Yes    No 
Enter Year of Vessel:  Length of Vessel: 
Enter Registered Owner Name: Address:
Enter Owner Telephone:  Owner Alt Phone: 

Manufacturer Name:  Model: 
Registration No.: State:  Document No.:
HIN No.:

Particulars:
Check Hull Type: wood FRP aluminum steel other

Graphics/Colors Descriptions:
Hull:   Waterline: Bottom Paint:
Canvas: Upholstery:

Electronics:

Engine Type/Manufacturer:  Engine Year: 
Engine hp:  Engine Serial Numbers:
OD Serial Number:
Engine Particulars: inboard outboard I/O gas diesel jet single twin

 Trailer Specifications:
Trailer Manufacturer: Trailer Color: Year: 
Single Axle Double Axle  Triple Axle
Trailer VIN: Trailer License Number: State:

Theft Particulars:
Date Last Seen:  Location Last Seen:

Police Report Information: (Police rept required)
Police Report Number(s):

Reporting Agency: Agency Phone:

Claim/Policy #:


Your Name:

Your Street: City: State: Zip:

Your Phone: Your Fax:

Your Email Address:

REWARD AMOUNT OFFERED:
Rewards are being offered by vessel owners or responsible agencies and would be paid by those individuals or agencies and not by Todd & Associates.
Fliers will be broadcast simultaneously via broadcast facsimile, & taylored to your regional/geographical spectic requirement:.
Choose location/s to fax Stolen Vessel Notification Fliers:
California (entire State)
Southern California
Northern California
West Coast (CA, AZ, NV, WA, OR, AK, MX)
Continental US fliers (1.00/flier)
Caribbean (2.00/flier)
Internationl (2.50/flier)
Total number of "wanted poster" to be faxed if less than a selected region; please check region:
Charges are determined by the number of fliers.
1.00 per flier domestic (Special volume discount)
2.50 per flier international
PAYMENT METHOD:
Visa
Mastercard
American Express
Purchase Order
Invoice

Note: Save form and email to stolenboats@boatman.com and/or print out this order form and fax to (619) 223-8942.
Account Number: Expiration:

Signature:


***Name as it appears on your card***(Note: This line needs to be signed if you are sending or faxing your order.)
If you would like to be added to our Stolen Vessel fax database to receive notice of stolen vessels, please email your name, company, fax number w/area code to

TODD & ASSOCIATES, INC.
2390 Shelter Island Drive; #220
San Diego, CA
Phone: (800) 325-8061 or (619) 226-1895
Contact Us

Broadcast Fax Information

Home