Off Season Dock Check Form (November-February)

Off Season Dock Check (November - February)

Need piece of mind? We will check on it for you!
Service Includes: check out Blower Boxes, the Lift Structure, Air in lifts, Ramps, Cables, Bolts, Bushings, Hoses, Dock Frame, Posts, Purlins, Roof Panels for Breaks.
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Home Address *

Street Address

Apartment or Suite

City State

Postal / Zip Code
Private Dock?

Yes No
Community Dock?

Yes No
Lake Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Private Dock - Indicate Color of House:
Type of Boat on the Lift *
Driving directions from Osage Beach
Community Dock Name
Dock & Slip:
Include DOCK and SLIP number
Gate Code to enter property or dock?
No gate code provided could result in add'l trip fee.
If a Firstmate Owner (save on a summer service call) ** Any special issues we should check out? **
** Any Firstmate parts/labor will be billed separately.
Do we have permission to drop your boat? *

Yes No
Dock Check Service *

SAVE & Sign Up for Monthly Check (Nov-Feb) - $60/trip One Time Dock Check - $75
Please check on my dock:

November December January February
Dock Check Amount below will be billed once service is complete. Any balance will be billed Net 10.
Due to this off-season service, we will not drop any boat without your approval.
Boat Cover Disclaimer:

For the safety of your property and our technicians, we do not remove covers, untie covers; or get underneath covers.

DISCOUNT ** 2021

Not JUST a piece of mind, ALSO receive special discounts for the 2021 Boating Season!
(Office Use) Service Notes:

** $1.00 will be authorized on your card, until billing is issued. **

Online Service Call $ 1.00

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

I acknowledge that the information above is correct. By agreeing to these terms & conditions I am authorizing Firstmate, Inc. to charge my card for fees as set out above and to keep my card information on file with the payment processor for the purpose of Firstmate, Inc. services rendered.
Should be Empty:

Off Season Dock Check (November - February)