Wreck Information Request Form
Northern Maritime Research relies on fundraising projects and donations to support this continuing research. Your support is requested in exchange for information. Please complete this form and send a printed copy by regular mail with a $10 (US. funds from US. and overseas) donation for each wreck. The more information provided, the greater the chance of locating the record matching your request. (Please ensure correct postage to reach us).
Print this page, complete and mail to:
Northern Maritime Research, PO Box 48047, Bedford, Nova Scotia. Canada B4A 3Z2
Wreck Name:
When Lost: 1900s 1800s 1700s 1600s 1500s Other
Year, Month & Date of Loss:
Country Where lost:
State/Prov. Where Lost:
Other Details:

(use back of page for more details if required)
Your Name:
E-Mail:

Address:
Community:
State / Province:
Zip / Postal Code:

 

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