Electric Yacht

Electric Yacht System Order Form

QuieTorque(TM) Brushless Motor Systems now available are given as options towards the bottom of this form.  Submitting this is not a commitment to purchase, but serves to gather your vessel and order information.  Payment instructions are at the bottom of the page. 

If you have additional questions, please visit our Contact Page.

Your Name*
Street (1)*
Street (2)
City*
State	Select OneAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonDistrict of ColumbiaWest VirginiaWisconsinWyoming
Canadian Province (if in Canada)	Select OneAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon
Zip Code*
Your Email address*	Send me a copy
Phone
	Please enter your boat information.
Boat Name*
Builder / Maker*
Year boat was built
Length Over All (LOA)*
Length At Water Line (LWL)*
Displacement*
Propeller Diameter*
Propeller Pitch*
Propeller Shaft Diameter
Propeller, Number of Blades
	Standard cable lengths are 12 feet/ 4m. Please specify if different length is desired:
Throttle Quadrant/ Keyswitch Length	Standard cable length is 12 feet/ 4m. Please specify if different length is desired
Battery Monitor Cable Length	Standard cable length is 12 feet/ 4m. Please specify if different length is desired
	Please select your model, 100ibl, 180ibl, or 360ibl
Electric Yacht Model*	Select One100ibl, 130A/100A, 5 shp/10 -13 bhp, $3995180ibl, 230A /180A, 9 shp/14-18 bhp, $4995360ibl, 460A/360A, 18 shp/23-30 bhp, $6995
Customer Note
	Please confirm that you are not a script by entering the letters from the image.

We accept VISA, MC And American Express via phone, but prefer your personal check.

A deposit of $500 is required to begin your order assembly
(Residents of MN must add sales tax).

Electric Yacht
5042 Lowry Terrace
Golden Valley MN 55422
763-370-2605

© 2010, JASM, LLC, d/b/a/ Electric Yacht