Test Page - James Creek Marina Slip Form - Boating in DC Kayaking, Paddling, Passes, Tours, Classes

Application for Slip

Contract Type: Annual (12 Month Contract)*, Seasonal (6-11 Months)**, Transient

Annual Start Date:

End Date:

Seasonal Start Date:

End Date:

Transient Start Date:

End Date:

Vessel Owner Information

Name

First

Last

Current Address

City

State/Province

Zip/Postal

Phone Number (1)

Phone Number (2)

Email address

Vessel Information

Vessel Name:

Make/Model:

Year:

Dimensions

Length (LOA):

Beam:

Draft:

Power Requirements (select one)

N/A

30 AMP

50 AMP

Hull ID:

Registration Number and Documented Number:

Insurance

Company:

Policy Number:

Exp Date:

Minimum Liability Limit:

Signature

Clear

Date

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***Required Information Needed Before Arrival: Current Insurance and Registration*** *Annual contracts can be split into two (2) payments for 6 months each **Seasonal contracts must be made in one (1) payment ***Contracts that begin before the 15th of a month will be charged for the whole month, while contracts that begin the 15th or later will not be charged for that month.

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Application for Slip

Contract Type: Annual (12 Month Contract)*, Seasonal (6-11 Months)**, Transient

Vessel Owner Information

Vessel Information

Dimensions

Power Requirements (select one)

Insurance