Name of Business		
Principle Owner		        
Address				
City				
Province/State		        
Postal Code/ZIP		        
Country				
Telephone			
E-Mail				
Website				

Principle Business	        
Time in Business		

Other locations:		

Do you service and install?  Yes   No 
 
What is the source of sales of electric outboard motors in your area?


Regarding Lakes: Types of Lakes (check all that apply):

Private lake with private docks heavily developed  

Private lake with private docks lightly developed  

Reservoir lake with residences  

Reservoir lake used by boats with trailers only  

Names of Lakes: