Marina Boat Cleaning Request Form

1

Maintenance Location:Where would you like your boat serviced?

Great Waters Marina

Lake Club Marina

Landing Marina

Linger Longer Marina

Richland Pointe

2

Do you store your boat in the marina?:Is your boat in a marina?

Yes

No

3

Full Name:* This field is required.

First Name

Last Name

4

Member Number:* This field is required.

5

Phone Number:* This field is required.

Please enter a valid phone number.

6

Member E-mail:* This field is required.

example@example.com

7

Member Home Address:* This field is required.

8

Date Requested By:

Date

10

Boat Length:

11

Cleaning Request:How can we clean your boat?

Toon Wash ($75 per float plus cleaning supplies)

Basic Wash ($13 per foot plus cleaning supplies. Wash in and out, vacuum interior, clean bimini, and clean cover)

Premium Cleaning - Full Detail ($18 per foot plus cleaning supplies, Wash in and out, vacuum interior, clean all compartments, clean bimini and cover, polish all chrome, wax exterior or wash pontoons. *No wax is applied to the hull of the boat or any part of boat that is walked on)

Other

12

Comments:(Special Requests, Location of Boat Keys, Where work will be performed, etc.)