SkiffAmerica 20	
Plans - Order Form

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$160.00 - Inside US			|
$170.00 - outside US			|
Check or Money Order			|
Payable to:  Kilburn Adams 		|
9223 Lemona Dr.				|
St. Louis, Mo 63123			|
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Name: 	__________________________________________________
		First		M.I.		Last

Mailing Address: ______________________________________

_______________________________________________________
City			State		   Zip

Phone # ___(____)____________________

E-mail address: 	____________________________

Closest town which is easy to find on a road atlas 
and your approximate mileage and direction from that town.


Would you like to be put in touch with other plan 
holders in your area? Yes ____  No ____

Have you previously built a boat or similar 
project? Yes ____  No ____

Even though you have not seen the plans, do 
you believe you will build SkiffAmerica?

Probably ____       Probably Not ____      Don't Know ____


Do you think you would like to participate in a 
SkiffAmerica Messabout or Cruise?   Yes ____  No ____ 


Would you prefer river, lake or coastal?  Circle first choice.

The following questions are optional:

How far would you be willing to travel to the 
selected site/sites?




What feature/features do you like most about SkiffAmerica?




What feature/features do you think you may not like 
about SkiffAmerica?




What kinds of information would you like to see 
on our SkiffAmerica website?






How did you find out about SkiffAmerica?  (please circle any that apply)

SkiffAmerica 20 Website
Other Internet Site
Internet Search
Friend
Magazine Advertisement
On The Water (where:_____________________________________)
Other: __________________________





Any additional comments or questions are welcome.