CAPTIVA GETAWAYS! REGISTRATION FORM
SEPTEMBER 9TH - SEPTEMBER 16TH 2026
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Sales Consultant
*
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BOAT INFO
Boat Name
*
Model
*
Beam
*
Draft
*
LOA
*
Power Requirememt
*
Please Select
1- 30
2- 30
1- 50
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PLEASE LIST THE NAMES OF GUESTS :
INCLUDE YOURSELF
Guest Name #1
First Name
Last Name
Guest Name #2
First Name
Last Name
Guest Name #3
First Name
Last Name
Guest Name #4
First Name
Last Name
Guest Name #5
First Name
Last Name
Guest Name #6
First Name
Last Name
Guest Name #7
First Name
Last Name
Please list any food allergies, if any.
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Will you be needing a hotel room?
*
Please Select
Yes
No
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EVENT PRICING: This fee is striclty for MarineMax purposes. Accomadations & slips are not included
PRICE PER PERSON
My Products
*
prev
next
( X )
Adult
Ages 18+
$450.00
$
450.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
CHILD
Ages 5-17
$250.00
$
250.00
NUMBER OF PEOPLE
1
2
3
4
5
6
7
8
9
10
Terms
*
I authorize the credit card to be charged the above amount
I understand cancellations for a full refund are only accepted up to 30 days prior to the event
This fee is striclty for MarineMax purposes. Accomadations are not included
.
Signature
*
Date
-
Month
-
Day
Year
Date
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