Seasonal Dockage Prospect Request Form

Please fill out the form as completely as possible. Note the required fields.

Completion and submission of this form does not guarentee a slip or rack space for the upcoming season or any subsequent season. By completion and submitting this form your information is placed on a waiting list.


Name:

Email:

Home:

Street:

City / town:

State:     Zip:

Home phone #:

Work phone #:

Summer (or Billing) Address:

Street:

City / town:

State:     Zip:

Summer phone #:

Cell phone #:

Vessel Name:     Make:

Year: LOA: Beam: Draft:

Reg. #:     Doc. #:


Slip Preference: #1 #2 #3

Valet Rack Service:

Electrical Requirements:

    110 volts (30 amps)   1 cord 2 cords

    220 volts (50 amps)   1 cord 2 cords

    208 volts (100 amps) 1 cord 2 cords

Status:

    Please select from below

    Live Aboard

    Occasionally Sleep Aboard

    Never Sleep Aboard

Additional Notes:

Dockage charge is based on length over all (L.O.A.)
Length over all includes platforms, davits, pubpits, outboards (in the tilted out position), etc. See the seasonal dockage information page for more details.