Winter Storage Application

WINTER STORAGE APPLICATION
	EDGEWATER MARINA SLIP RENTAL APPLICATION WINTER STORAGE APPLICATION TRANSIENT APPLICATION HOME

EDGEWATER MARINA WINTER STORAGE AGREEMENT

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#

CONTACT ME(select one:)

By Phone By Email By Mail

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)

WINTER STORAGE FEE:

TOTAL DUE:

SERVICE FEE:

TOTAL SERVICE FEE:

TOTAL AMOUNT CHARGED TO YOUR CREDIT CARD:

TERMS (WINDOW TO OPEN WITH CONTRACT TERMS)

BY CHECKING THIS BOX, I AGREE TO ALL TERMS AND CONDITIONS OF THIS AGREEMENT