Please attach pictures of your vessel from the top, sides, and rear. VESSEL INFORMATION Instructions: Complete this information (attach pictures of your vessel from the top, sides, and rear) and email it to brianalanmeikle@gmail.com IDENTIFICATION Name of Vessel: Year, Make, & Model: Length: Type of Vessel: Draft: Hull Material: Hull and Trim Colors: Prominent Features: COMMUNICATION Radio Call Sign: DSC MMSI No.: Radio‐1 Type: Channel/Frequency Monitored: Radio‐2 Type: Channel/Frequency Monitored: Cell / Satellite: Email: PROPULSION NAVIGATION: Primary Type: Engine: Fuel Capacity: □ Compass □ Radar □ GPS / DGPS Auxiliary Type: Engine: Fuel Capacity: □ Charts □ Maps □ ___________ SAFETY & SURVIVAL EPIRB UIN: Visual Distress Signals: Audible Distress Signals: □ Electric Distress Light (Night Only) □ Bell □ Flag (Day Only) □ Horn □ Flare, Aerial (day and night) □ Whistle □ Flare, Handheld (day and night) Additional Gear: □ Signal Mirror (day only) □ Dewatering Device □ Flashlight/Searchlight □ Smoke (day only) □ Fire Extinguisher □ Raft / Dinghy