BROWN’S POINT MARINA
BOAT RENTAL CUSTOMER INFORMATION FORM
CUSTOMER INFORMATION
YOU MUST CONTACT THE OFFICE TO MAKE AN ACTUAL RESERVATION
Boat Type Requested
Please Select
16 Foot Skiff
Pontoon Boat
Number of other passengers(Skiffs = 4 maximum / Pontoon = 12 maximum)
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
Name (Renter or Lessee)
First Name
Last Name
Renter's Age (Must be at least 25 for the Pontoon Boat and 18 for the Skiff)
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Lessee has a boating safety certificate?
Please Select
Yes
No
Boating Experience
Please Select
None
Very little
Some experience
Experienced
Proposed Rental Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: