Transport
Off Site Storage Agreement River Bend Marina
All fields marked with a red (*) must be filled in or the form can not be submitted.
Date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Legal Owners Name
*
First Name
Last Name
Additional Contact
First Name
Last Name
Owners Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
this email will be used for all communications
Owner Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Additional Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
What type of boat have?
*
Power Boat
Pontoon Boat
Boat Year
Boat Manufacturer
Model
Length of Boat
*
Width of Boat
*
Boat Registration Number
Insurance Company
*
Insurance expiration date
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
HAUL OUT DATE, Select a day and time for haul out, Monday- Saturday from 9:00AM- 6:00PM. Vessels larger than 32' requiring hoist service will be Monday-Friday from 7:00AM -4:00PM. You must be prompt for haul out appointment.
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Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
HAUL OUT/DROP OFF DATE
*
I have selected a day and time to haul out boat in the field above.
I will call to schedule a day and time to haul out boat.
REMOVE FROM WATER LOCATION
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Harley Ensign DNR Launch site South River Road up to 32' (most common)
Metropolitan Beach Public Access (additional fees may apply)
32'+ Hoist Service Location TBD (Mon-Fri. 7:00AM to 4:00PM fees apply)
Other pick up location (add location in notes below, fees apply)
Other Pick Up Location- List other location for pick up of vessel
This only applies to boats being picked up at an alternate location not listed above
Delivery Address:
*
Deliver and store boat at the address listed above
Deliver and store boat at the address listed below
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
I will pay for the service in full when the boat is removed from the water by cash or check or pay in advance using Zelle
*
I agree to the payment terms
I agree to the amount quoted which includes launching according to the terms of this agreement.
Special Requests
list specific requests here
By checking this box and submitting this form, I agree this electronic request is the same as an original signature, binding by law and demonstrates my express authorization as the legal owner of the above-named vessel. I have clicked on the link below, read and agree to the “Storage Contract Terms & Conditions” in its entirety and printed a copy for my records.
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