2008 BOAT SLIP MOORAGE
LICENSE AGREEMENT
______ Annual $1,750.00 (January
1-December 31) Only available to current Annual Boat Slip Holders.
______ Seasonal $1,350.00
(6 month period from April 1-September 30 or May 1-October 31)
______ Annual Inspection Fee $100.00 for boats with holding tanks (gray/black water.)
LICENSEE / REGISTERED OWNER(S) Name and address information for all additional registered
owners must be provided on back.
I. Name____________________________________________________________________________
Home Address____________________________________________________________________
Mailing Address___________________________________________________________________
City ____________________________________
State___________ Zip Code _________________
Home Telephone_________________________ Drivers
License No._________________________
Cellular Telephone __________________ Work
Telephone________________________________
Email Address ____________________________________________________________________
Emergency Contact_______________________________________Telephone____________________________
II. DESCRIPTION OF VESSEL
Vessel Name ____________________________________CF
#_______________________________
Boat Manufacturer _______________________________Year
Built__________________________
Hull Type____________________________________Color_________________________________
Length /Width _____________Engine Manufacturer
____________________Horsepower________
Engine Type:
____O/B
____Inboard ____I/O Fuel
Capacity_____________________
Water Capacity: _______# Gals. Sewage Gallon Capacity: _____ Black _____Gray
III. INSURANCE CARRIER
Company______________________________________________Agent______________________
Policy#________________________________________________PolicyTerm__________________
Type of Coverage_______________________________________
Policy Limits ________________
Owner must provide proof of required liability and property insurance for Vessel as required
by Marina, naming Marina as
additional insured.
By signing below, you are acknowledging you have received and read the Terms and Conditions and
Rules and Regulations enclosed.
_______________________________________________________________________
LICENSEE / AGENT
DATE
________________________________________________________________________
MARINA REPRESENTATIVE
DATE
Licensee must sign and date the license agreement and return this page to
Marina with payment by December 31, 2007.
Please include name/address information for all additional legal owners on the back
of this form.
