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 Cobalt Boats
Cobalt Website Request for Quote
Customer Information
Salutation
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip/Postal *
Country
Home Phone w/Area Code *
Work Phone w/Area Code
E-mail *
Receive occasional E-mail news from Cobalt? Yes  No  
Where do you boat?
How did you hear about the Cobalt web site?
If by magazine
If other
How many years have you been an active boater?
How many boaters in your family?
How many boats have you owned?
Planning to purchase a new boat in the next six months? Yes  No  
If so...
Ownership Detail
Do you currently own any boats? Yes  No  
Boat 1
Boat 2
Boat 3
Are you planning to trade-in your current boat? Yes  No  
If yes
What other make and size boat are you considering?
Do you own a home on the water? Yes  No  
Will you trailer your new boat? Yes  No  
If yes:
What is your primary vehicle?
Where do you boat most of the time? Freshwater  Saltwater  
What will be the primary use for your new boat?
What is your occupation?
What is your family income?
What marine publications do you read?
(check all that apply)		 Boating Life  
Boating World  
Go Boating  
Great Lakes Boating  
Hot Boat  
Lakeland Boating  
Motor Boating  
Pleasure Boating  
PowerBoat  
Power & Motor Yacht  
Sea  
Southern Boating  
Trailer Boats  
Water Ski  
If other...
How did you become familiar with Cobalt?
Most important features in your boat purchase? (check all that apply) Appearance  
Comfort  
Convenience  
Dealer  
Dependability  
Workmanship  
Performance  
Safety  
Service  
Value  
Manufacturer Reputation  
Have you ever ridden in or driven a Cobalt? Yes  No