Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Boat name
Boat make/model
*
LOA
*
Draft
*
Beam
*
Power Requirement
*
1- 30A
2- 30A
1- 50A
Tie off preference
*
Starboard Side
Port Side
Any of the above
Name of Sales Consultant
*
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Will you be staying on your boat or hotel room?
*
Staying on boat - I WILL ONLY NEED A SLIP
Staying in hotel room - I WILL NEED A SLIP AND A HOTEL ROOM
How many hotel rooms will you need?
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
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PLEASE LIST NAME OF ALL ATTENDEES
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
Guest Name #8
First Name
Last Name
Please list any allergies:
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T-Shirt Sizes
Women's / Men's Long Sleeve Performance Shirts
My Products
prev
next
( X )
Women's Long Sleeve
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Size
XS
S
M
L
XL
XXL
XXXL
Men's Long Sleeve
Free
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Size
XS
S
M
L
XL
XXL
XXXL
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CONFIRMATION
For security, a credit card number will need to be given over the phone to Avery Mooney. This will be used to book the slip, hotel room, hockey tickets, and water taxi. All accommodations will be booked for you, unless otherwise specified.
Please Accept Terms and Conditions
*
I understand that refunds will not be processed for cancellations within 30 days of the event.
Signature
*
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