Scheduling Form

Please fill out the form below to schedule your Fall 2020 Removal service.

Name *

Name of Lake *

Lake Address *

Home Billing Address *

Home Phone *

Cell Phone *

Email Address

Can we email your invoice? *

Yes No

Remove Pier Fall 2020? *

Yes No

Remove Boatlift Fall 2020? *

Yes No

Remove Personal Watercraft Lift Fall 2020? *

Yes No

Store Boatlift at The Pier Place Fall 2020? *

Yes No

Earliest Date these services can be performed? *

Special Instructions

Please type your name below as your online signature.

Customer Signature *

We accept Mastercard, Visa and Discover credit cards. If you choose to pay with a credit card please fill in below. For security reasons, this information will NOT be kept on file for future charges.

Card #

Exp. Date