RCM Winterization Form 2024

2024 Winterization Service Request
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Boat Make, Model, Length & Year
Boat Name
KA# & Slip#
Key Location and/or combination number (keys must be available)
Work can be performed on or after the date indicated below.

MonthDayYear
Date
INBOARD/STERNDRIVE WINTERIZATION SERVICE INCLUDES; DRAIN ENGINE BLOCK, COOLING SYSTEMS, FLUSH WITH ANTIFREEZE, FOR ENGINE, DRAIN THRU HULLS & STABILIZE FUEL. THERE WILL BE ADDITIONAL CHARGES FOR SHOP SUPPLIES AND SALES TAX.

Check all that apply…the following prices are for boats in slips.
Winterizing Options for Boats In Slips

One Engine- $324Two Engines- $648One Diesel Engine- cost: time + materialTwo Diesel Engines- cost: time + materialMarine Head- $95 eachSailboard inboard engine- $130 eachPump holding tank- $130 eachMarine A/C -$95 eachFresh water system- $95 per stationIce Maker- $95 eachGenerator- $105 eachSmall outboard engines (under 50hp)- $105 eachOutboard engines (55 to 350hp)- $185 eachInboard engines 4, 6 & 8 cylinder- $287 eachInboard/stern drive big blocks engines- $335 eachOther
Pull Services
Name of boat and trailer
Please check one...

Pull on customer trailer and put in storage (lot or bldg)Outside storage areaPull boat on Marina trailer and put in storage (lot or bldg)Inside Storage (space is limited
Trailer Location
Other Services- please describe your request below.
Prior to work being done please call me at....
I authorize Rock Creek Marina TS, LLC to perform work as indicated on this form. Any authorizations received after or scheduled to be done after November 1, 2024 will have an additional fee of $100.00 added to their bill for inclimate weather conditions.

Clear
I do not want Rock Creek Marina TS, LLC to perform winterization on my boat this year.

Clear
Should be Empty:

2024 Winterization Service Request