Summer Slip Application- Request Slip Space

SLIP FEES ARE BASED ON OVERALL SIZE OF BOAT

50% DEPOSIT REQUIRED

Current Insurance Binder

Registration or Documentation

Fill out Form and print and send or email it to us (OPEN FORM)

PLEASE DO NOT USE YOUR browser's auto-fill feature TO FILL OUT OUR FORM

* Required fields
Name *
E-mail Address *
Slip #
Street:(billing address)
CITY, STATE, ZIP:(billling city,state,zip)
Home Phone: *
Work Phone:
Cell:
BOAT OWNER:
Doc# or MS# *
BOAT NAME:
BOAT DESCRIPTION:
MAKE:
YEAR:
SAIL OR POWER:
LENGTH:
BEAM:
DEPTH:
WEIGHT:
CONSTRUCTION *
OVERALL SIZE OF BOAT:
IS THERE A SWIM PLATFORM
IS THERE A PULPIT:
NUMBEROF ELECTRICAL PLUGS REQUIRED:(One included in price)
	ADITIONAL 30 AMP SERVICE AT $200 EACH:
DATE WANTED FOR HAULING/LAUNCHING 1ST CHOICE:
DATE FOR HAULING/LAUNCHING: 2ND CHOICE
TRAILOR -SUMMER STORAGE (MAKE)
TRAILER REG, #:
TRAILER DESCRIPTION:
	NOTE: All trailers left at CCM for storage or Active Summer must be clearly marked with name and locked. A set of keys to the trailer must be provided to CCM.
Name on Credit Card
Credit Card # Visa -Master Card- Discover
Card Expiration Date -mm/dd/yy-MONTH-Date-YEAR All required
Security Code
ANY OTHER PERTINENT INFORMATION OR REQUEST:
I have read and agree to the Privacy Policy *

NOTE: Please remember we must have your current insurance and registration -documentation as well as your signed contract before you bring your boat into the Marina.

You may fax the information to us at (617)846-4301. Along with your Credit card information.

Information needed for Credit Card:

Name on Card:

Address of Billing:

Card#

Security Code: