$50.00 Slip Deposit for Dockage is Non-refundable
CLASSIC YACHT CLUB OF AMERICA
BOAT SLIP RESERVATION INFORMATION
(When CLICKING on the SUBMIT button, the information is emailed to the Fleet Captain)
PERSONAL INFORMATION
ARRIVAL DATE
DEAPRTURE DATE
NAME
ADDRESS
CITY, STATE ZIP
HOME PHONE
WORK PHONE
CELL PHONE
EMAIL
BOAT INFORMATION
BOAT NAME
MANUFACTURER
BOAT TYPE
HULL LENGTH
BEAM
DRAFT
TOTAL LENGTH
Total length includes hull length plus bow
ELECTRICAL REQUIREMENTS
pulpit, swim platform, outboard engines in
raised position if applicable
HULL ID No.
STATE REGISTRATION No.
INSURANCE CO.
BINDER No.
Proof of adequate insurance (a minimum $300,000 liability insurance) and slip fees must be received upon entering basin
INSURANCE EXPIRATION DATE
DOCKAGE INFORMATION
(TO BE COMPLETED BY DOCKMASTER)
SLIP ASSIGNED
BEGINNING METER READING
ENDING METER READING
DOCKMASTER SIGNATURE
DATE
Dockage Fee: $2.75 per foot per night
Electric: Included
Select One
SAIL
POWER
Select One
30 AMPS
50 AMPS
SPLITTER