RBS Visitation Form AUDIT Division 12 11SR Rev 5.1 x

DEALER/PARTNER AUDIT FORM U.S.C.G AUXILIARY Division _____ Flotilla ______ DIVISION FORM 11S-12 RBSA RBS VISITATION PROGRAM SECTION I – MEMBER INFORMATION MEMBER ID# | | | | | | MEMBER NAME SECTION II – VISITED BUSINESS INFORMATION VISIT DATE BUSINESS NAME MFR. ID CODE ADDRESS TIME (PREP/TRAVEL/SITE) / / CONTACT NAME SECTION III – FLOTILLAS ACTIVE IN PROGRAM VISITS SECTION IV – AUDIT RESULTS  BULLETIN BOARD(S) (#) WINDOW DISPLAY(S) (Y/N) READING AREA (Y/N) LITERATURE EASELS (#) LITERATURE SHELVES (#) MOST FREQUELTLY REQUESTED TITLES – ADDITIONAL TITLES OVERLEAF STK# TYPE DESCRIPTION O/H ORD STK# TYPE DESCRIPTION O/H ORD CALIF BKLT ABC's of the California Boating Law - English PAMP Alcohol and Boating CALIF BKLT ABC's of the California Boating Law - Spanish 3033 PAMP Beware of Boat Propellers (YIC) 3003-1 PAMP Boat Responsibly! Live Responsibly (YIC) 3-Fold CALIF BKLT California Safe Boating Hints - Fire Extinguishers 3003 PAMP Boatsibly (YIC) 7-Fold CALIF BKLT California Safes - PFDs PAMP Boat Smart from the Start w/ a Free Vessel Safety Check CALIF BKLT California Safe Boating Hints for Paddle Craft CALIF PAMP California Safe Boating Facts About the Silent Killer (CO) CALIF BKLT California Safes for Personal Watercraft 3005 PAMP Carbon Monoxide Poisoning (YIC) CALIF BKLT California Safe Boating Hints on Lakes and Rivers 4045 PAMP Cleaner Boating ...