Request Form – Mackeys Marina

Slip Rental / Work Order

For a slip rental request or work order request, please fill out this form.

Vessel Owner Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Estimated Time of Arrival (ETA)

Hours

:

Minutes

AM/PM

Arrival Date(Required)

MM slash DD slash YYYY

Departure Date

MM slash DD slash YYYY

Vessel Name(Required)

Vessel Make(Required)

Vessel Year

Vessel Type (choose one)(Required)

Powerboat

Sailboat

Registration/Doc #

Length(Required)

Beam(Required)

Draft(Required)

Weight(Required)

SHORE POWER (for wet slip rental): $10 additional monthly charge plus metered usage

Yes – I will use shore power

No – I will not use shore power

Marine Liability Insurance Policy in amount of $250,000.00 or more is required.(Required)

I confirm that I have in effect a marine insurance liability policy in the minimum amount of $250,000.00.

Mackeys Marina will not compensate you for loss or damage to personal property or your boat.(Required)

I confirm that I understand Mackeys Marina will not compensate you for loss or damage to personal property or your boat.

How did you hear about Mackeys Marina?

Search Engine

Ad

Word of Mouth

Other

Services Requested – Please provide a brief description of services you are requesting.(Required)

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Monday-Saturday 10:00am-4:00pm

CLOSED Sunday