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SLIP RENTAL APPLICATION
EDGEWATER MARINA
SLIP RENTAL APPLICATION
WINTER STORAGE APPLICATION
TRANSIENT APPLICATION
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EDGEWATER MARINA SLIP RENTAL AGREEMENT
SLIP AVAILABILITY MUST BE CONFIRMED BEFORE FILLING OUT THIS FORM.
*DATE:
(MM/DD/YYYY)
*FIRST NAME:
*LAST NAME:
*NAME OF BOAT:
*STATE REGISTRATION#
TYPE OF BOAT:
(NO SAIL BOATS PERMITTED)
*LENGTH OVERALL:
*BEAM:
DRAFT:
*RESIDENCE ADDRESS:
CITY:
STATE:
ZIP:
*PHONE#
BUS.PHONE#
*CELL/EMERGENCY#
FAX#
*EMAIL ADDRESS:
*DRIVERS LICENCE#
PERSONS OTHER THAN OWNER AUTHORIZED TO OPERATE BOAT:
INSURANCE REQUIREMENTS:
(CLICK FOR INSURANCE REQUIREMENTS)
THE BOROUGH DOES NOT CARRY INSURANCE ON THE PROPERTY OF THE BOAT OWNER.
AS THE BOAT OWNER, I CERTIFY THAT THE ABOVE BOAT IS INSURED WITH:
INSURANCE CO:
AGENT:
POLICY NO:
ADDRESS:
EXP.DATE:
A CERTIFICATE OF INSURANCE MUST BE FORWARDED FROM YOUR INSURANCE AGENT
WITHIN 10 DAYS OF SIGNING THIS AGREEMENT.
(INDICATE APPROPRIATE AMOUNTS UNDER EACH APPLICABLE SECTION)
SLIP DEPOSIT:
SEASON ELECTRIC FEES*:
*WHEN YOU CLICK ELECTRIC FEES: FEE CHART OPENS UP
KEY DEPOSIT(NEW MEMBERS ONLY):
$50 PER KEY: limit of 2 keys per customer
SLIP BALANCE:
TOTAL DUE:
SERVICE FEE:
TOTAL SERVICE FEE:
TOTAL AMOUNT CHARGED TO YOUR CREDIT CARD:
VEHICLE INFORMATION TO OBTAIN PARKING PERMITS:
VEHICLE NO 1.
VEHICLE NO 2.
VEHICLE MAKE:
VEHICLE MAKE:
COLOR:
COLOR:
YEAR:
YEAR:
LICENCE PLATE #:
LICENCE PLATE #:
STATE:
STATE:
TERMS
(WINDOW TO OPEN WITH CONTRACT TERMS)
BY CHECKING THIS BOX, I AGREE TO ALL TERMS AND CONDITIONS OF THIS AGREEMENT