LOTO Marina
30703 Rustic Road | Rocky Mount, MO 65072 | www.lotomarina.com | 573-552-8485
(For Marina Use Only)
Slip # and Payment Date
Annual Slip Rental Agreement
Personal Information
Boat Owners Name
*
First Name
Last Name
Phone Number
*
Email Address
*
example@example.com
Emergency Phone Number
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Boat Information
Year:
What year is your boat?
Make and Model:
What is the make & model of your boat?
Length Over All (LOA):
What is your boat's overall length?
Width (Beam):
How wide is your boat?
Boat Name:
Boat Name
Motor Make:
Motor Make
Horsepower:
Motor HP
Year:
Motor Year
Please Check One
Are you a new or a returning customer?
I'm a returning customer.
I'm a new customer.
If you are a returning customer, please indicate slip number from last year:
Slip Number
If you are a new customer, how were you referred to LOTO Marina?
How did you learn about us?
SLIP PRICING
10’x32’ covered - $3510/year
12’x32’ covered - $3780/year
14’x44’ covered - $4590/year (*right of refusal to rent adjoining single PWC slip)
18’x44’ covered - $5130/year paid in full
Single PWC covered w/drive-on lift - $1000/year paid in full
Single PWC uncovered w/drive-on lift - $750/year paid in full
Annual Fees: (For marina use only. All fees will be totaled and invoiced once your signed contract is received.)
Amount ($)
Notes
Boat Slip (Indicate # of slips under Notes)
Shore power w/o air conditioning – $30 / month
Shore power w/ air conditioning - $60 / month
Trailer Storage $25/month
Credit card processing fee: 4.5%
Total Due:
Terms & Conditions
Payment
Payments made via check, money order, or bank check can be sent to our address above. Please attach a signed copy of slip agreement - Make checks payable to “LOTO Marina” By signing below, you have fully read and fully understand this agreement. Your signature binds you to all terms in the agreement. Payment of slip license in whole or part will be accepted as agreement in lieu of signature below.
Your Signature
*
Note:
Once you have submitted this contract, please email proof of insurance to lotomarinallc@gmail.com.
Submit
Should be Empty: