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BOAT SLIP APPLICATION CALL FOR AVAILABILITY AND RATES! |
POQUOSON Contact: Craig Brown
Phone: Fax: |
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TENANT INFORMATION |
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Tenant Name: |
______________________________________________ |
Boat Slip #: |
_______ |
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Commencement Date: _____________________________________________________
Mailing Address _________________________________________________________________
_________________________________________________________________
City State Zip
Home #____________________ Work # _______________ Mobile # ________________
Email _______________________________________________
Employer ____________________________________________ Phone __________________
Emergency Contact ____________________________________ Phone __________________
BOAT INFORMATION Boat Name ____________________________
Boat Make ______________________________ Registration #_________________________
Boat Type ______________________________ Year _____________
Length O/A ________________ Beam _______________ Draft ________________________
Fuel Type __________________________ Tank Capacity ____________________________
Motor Make and Model ______________________________ Year ________________
Lien Holder ________________________________________________________________
Lien Holder Address _____________________________________________________________
_____________________________________________________________
City State Zip
Insurance Company _____________________________________________________________
Insurance Policy # ________________________________ Expiration Date ____________________
SPACE RENTAL FEES
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Security Deposit |
$___________ |
EQUAL TO ONE MONTH’S RENT, TO BE PAID UPON SIGNING |
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Monthly Fee |
$___________ |
FIRST MONTH TO BE PAID UPON SIGNING |
Accepted by _______________________________________ Date ________________________
Poquoson Marina Associates, L.L.C.
Accepted by _______________________________________ Date ________________________
Tenant/Captain