Elco Electric Launch Incorporated Questionnaire

If you are considering repowering your boat with an Elco electric drive system, please fill out the following questionnaire. We want to be sure the system you install is the one best suited to your boat and your boating activity. Please E-mail your response to us by clicking on the "Send" button on the bottom of this page.

NOTE: The information that you provide us on this questionnaire is for use by Elco Electric Launch Incorporated only. It will NOT be distributed to others. We have included a request for a phone number or fax number in the unlikely event that we are unable to return your response by e-mail.

In order to properly size an electric drive system for your boat, items in "RED" must be filled in!

Inboard
Other	(Not Currently Available)
Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail
URL
Manufacturer or Designer
Model
Boat Type: (check one)	Power Sail Motorsailer Non-Elco electric boat Other (please specify)
Hull Shape: (check one)	Monohull Multi-hull Other (please specify)
Underbody Shape: (check one)	Flat Round Vee Other (please specify)
Keel: (check one)	Full Skeg None Other (please specify)
Power Being Replaced:	Type: Make: Horsepower:
Length overall (LOA):
Length at waterline (LWL):
Waterline beam:
Displacement:
Hull Material:
Depth of bilge under cockpit sole:
Propeller shaft diameter (if known):
Existing propeller diameter (if known)
Existing propeller pitch (if known)
Existing propeller no. of blades (if known)
What is you desired cruising range (hrs) or ..
What is you desired cruising range (miles)
Are tide and/or current factors to be considered?
In what geographic region do you use your boat?
When do you plan to re-power?	This year Next year Sometime in the future
Comments?
NOTE: If you receive an error after submitting this form, use your browser back button instead of the "return" link or all form information will be erased!
S. P. Upham - Webmaster Copyright © 2006 Electric Launch Company. All rights reserved. Revised: 05/14/08