Service Request Form

Name* This field is required.

First Name

Last Name

Are you dropping off your boat for Winter Services?* This field is required. * It is recommended that this form should be completed at time of drop off or just prior.

YESNO

Are you a new customer to Harris Boat Works?* This field is required.

YESNO

Make and Model of Boat* This field is required.Please enter the Boat info including length if possible.

Make and Model of Motor* This field is required.Please enter the Motor info. *Note: We only offer Repairs on Mercury / Mercruiser

How are you dropping off your boat?* This field is required.*

By TrailerBy Water

Do you have a trailer?If you do, please drop off in our yard so we can haul the boat out.

YESNO

When is the boat being dropped off?* This field is required.Please leave keys in Ignition or Dropbox located at office door.

Date

Hour

Minutes

Where will you put the keys?* This field is required.Please indicate where you will leave your keys

Ignition

Dropbox

Office

No Keys

Home Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Cell Number* This field is required.We require a valid cell number for text notifications

E-mail* This field is required.We require a valid email address

Pickup Date Requested* Requested Dates are Not Guaranteed - You Will Be Notified When Work is Complete.

Not Required for

Would You Like the Same Exact Winter Services as Last Year?* If you have changes or additional work needed select No.

YESNO

Services Requested* This field is required.Select All That Apply. Details can be added on next step.

Various Boat / Motor Repairs

Winterize Engine

Engine Oil & Filter

Winter Storage - Shrinkwrapped

Shrinkwrap Only - To Take Away

Power Wash Hull

Bio-Wash Chemical Hull Clean

Winterize Fresh Water / Head

Steam Clean Carpet

Pump Out Septic Tank (Only Available in Water)

Propeller Replacement

Water Pump Replacement

Engine Tune Up (In Spring)

Fill Fuel Tank

Additional Work (See Details)

Boat Detailing (You will be contacted by Mike's Marine Detailing)

DetailsProvide Any Details Regarding the Work Requested or Add Additional Jobs.

(Optional)

Upload Photos / DocumentsIf you would like to add any relevant photos or documents:

Drag and drop files here

Select files to upload

Max. file size: 4.9MB

(Optional)

Signature Authorization for Service * This field is required.Use your finger or mouse to sign your name

Terms and Conditions* This field is required.

Service Request Form