Service Request
Please fill in the information below in to request service on you vessel. Our service requests are taken care of as efficiently as possible with every effort made to keep you on the water.
Email address *
Date of Request *
Requesters Name *
Your answer
Phone # *
Your answer
Slip #
Your answer
Boat year, type, and description *
Your answer
Key Location *
Your answer
Service Request - Describe what is happening with your boat and/or what you would like an estimate or repair on. *
Your answer
I would like to approve *
I would like to pay by *
By typing my name below I agree that you and your employees may operate herein described on any waterways or elsewhere for purposes of testing, inspection, or delivery at my risk. An express mechanics lien is acknowledged on the above unit to secure amount of bill thereto. It is also understood that Lakeshore Marina will not be held responsible for loss or damage to the unit (or articles left in or with the unit) in case of fire, theft, accident, inclement weather conditions, or any other cause beyond Lakeshore Marina's control. I agree to pay storage in the amount of $1/ft/day for all days that the technicians are waiting on me for parts, keys, or any other item or authorization which prevents them to work on the vessel and for storage of the vessel from time of completion notification to the time of pick up if more than 2 days. *
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.