$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

MANUFACTURERBOAT TYPE

HULL LENGTHBEAMDRAFTTOTAL 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 SIGNATUREDATE
Dockage Fee:  $2.75 per foot per night Electric: Included