Annual/Seasonal

Name*

First NameLast Name

Email*

example@example.com

Cell Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Boat Year*

Boat Make AND Model*

Boat Name (if applicable)*

Power or Sail?*

012Other

30 AMP2-30 AMP50 AMPNone

Total Overall Length*

Include swim platform and/or OB motor in total)

Total Height *

Beam*

FiberglassWoodAluminumSteel

Picture of Boat*

Insurance Info*

Boat currently moored where?*

Desired Start Date*

Date

Type*

Seasonal Slips - 20' ONLY

Registered Where?*

How did you hear about us?*

if referred by a friend please let us know!

Note: Liability, property damage insurance including hull, machinery & SRCC minimum $300,000, listing The Washington Marina as an additional insured, will be required prior to occupying the slip. NO HOUSEBOATS/LIVE ABOARDS, NO WOODEN BOATS.

** SLIP FEE IS BASED ON BOAT LENGTH OR SLIP, WHICHEVER IS LARGER**

Key Card Deposit/Hang Tag (Refundable) $25ea. / * Electric additional and billed separately.

This is a request form ONLY and does not guarantee a Slip. Slip licenses are not valid and binding until executed by The Washington Marina Co. Slip requestors are required to complete a License Agreement and submit written proof of acceptable insurance within the guidelines and limits as described in the License Agreement, along with payment prior to occupying slip. License Agreement must be executed prior to arrival.

Annual/Seasonal Request Form