Haul-out and Launch Form

*required information 

First Name                 

 Last Name*                      

 Account Number *         

Tel number                             -

Cell number                          

email address                  

 Details of Vessel
Dock Number                  

Length*                             feet   inches

Beam*                              feet  inches

Vessel type               Cruiser      Flybridge      Sail

Make & Model                                    

Boat Name  or Registration No.      

No Blocking / Haul-Launch Options
For members who do  NOT require club services for haul-out and blocking , check both boxes below.

  No blocking charges   (member is storing boat on his trailer)
  No haul-out charges    (member will haul out/launch
his own boat
Special Instructions

I wish to use the following club facilities the            (mm)        (dd)        (yyyy)

Member Account 
    Outstanding Balance* 
   Registration on file
   Insurance on file
   PCOC copy on file
   Credit Card Info on file