*Name:

*Email:

*Street Address:

*City:

*State:
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  Work Phone:

We would like to know more about you, and keep track of existing Higgins pleasure boats. Please complete the following information. (All data submitted is held in complete confidence, and is used by the Higgins Classic Boat Association® for statistical purposes only.) We hate junk mail and will keep your info private!

  Higgins Model:

  Year:

  Length:

  Name of Vessel:

  Serial Number:

  Type of Engine:

  Sides:

  Bottom:

  Deck:

  Transom:

  How long have you owned your Higgins:

  Are you the original owner?
Yes No

  Has your Higgins been handed down through your family? :
Yes No

  Do you own more than one Higgins? :
Yes No

  If yes how many? :

  On what lake do you use your Higgins?

Who else do you know who has a Higgins?

  Name:

  Address:

  Phone: