Please complete this
form and
1) Click on "Submit"
below to eMail it to us
2) Print this page
and fax it to us, or
3) Print this page
and mail it to us.
Your Name:
Your Address:
Your City/State/ZIP:
Your Daytime Telephone:
Your Evening Telephone:
Your Fax Number:
Your Cell Phone Number:
Your eMail ID:
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YES! I want a carefree
season. Please give my boat a complete bottom cleaning and
inspection starting (date)
Please clean (schedule can
be changed any time):
Every
week
Every two weeks
Every three
weeks
Monthly
Other Schedule
and/or on the following
dates
Race Days:
Cruise Dates:
Vacation Dates:
Specifications
Boat Name:
Location:
Dock/Slip/Mooring Number:
Boat LOA:
Boat Type:
Sail
Power
Hull Color:
Sail Cover Color:
Zinc Size(s) (if known):
Comments/Special Requests:
PLEASE DO NOT USE
THIS FORM IF YOUR REQUIRE SAME-DAY SERVICE. PLEASE CALL
US TO ARRANGE THIS.
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