Marina Service and Repair Request Form

1

Maintenance Location:Where would you like your boat serviced?

Linger Longer Marina

Lake Club Marina

Great Waters Marina

Landing Marina

Richland Pointe

2

Full Name:* This field is required.

First Name

Last Name

3

Member Number:* This field is required.

4

Home Address:* 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

Boat Make:* This field is required.Boat brand

8

Boat Model:* This field is required.Model

9

Boat Year:* This field is required.Year

10

Engine Make:* This field is required.Engine Brand

11

Engine Model:* This field is required.Model

12

Engine Year:* This field is required.

13

Service Type:How can we help with your boat?

Pre-season Checkup (Check fluids, start boat, inspect cooling system operation)

100 Hour Service (Oil, filter, fuel filter, gear oil, greasing all linkages, check all belts, etc.)

Oil, Filter, Gear Oil Change

Water Pump Impeller

Spark Plugs

Other

14

Issue Type

Propeller Issue (Broken blade on prop, vibration, ran aground, etc.)

Battery Issue (No start, no electrical working, etc.)

Electrical Issue (Gauges, lights, stereo not working, etc.)

Running Issue (Performance Issues, Lack of smooth operation, shutting off, etc.)

Installations (Stereo-Ipod, speakers, fish finder, depth finder, trolling motor, seats, etc.)

Other

15

Date Requested by:* This field is required.

Date

16

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