Booking Information
Completion of this form is required to confirm a Midcoast Boatyard & Marine job booking.
* Required
Email address
*
Your email
Clients Full Name:
*
Your answer
Company Name:
(if applicable)
Your answer
Phone Number
*
Your answer
Billing Address:
*
# Street, Town, State and Postcode
Your answer
Vessel Name and Type
Your answer
Vessel Lenght (Feet)
Your answer
Vessel Weight (Tonne)
Your answer
Vessel Beam (Metre)
Your answer
Vessel Draft (Metre)
Your answer
Brief description of work request or job:
*
This can be as brief or details.
Your answer
Job start date:
*
Enter your proposed start date or a date prearranged with us. Due to weather and scheduling constrains dates maybe subject to change by Midcoast Boatyard & Marine and can be reschedule by the client.
MM
/
DD
/
YYYY
Approximate arrival time (if applicable):
Your answer
Acknowledgment of our booking information and need to know items. Please review this information at the link provided below.
*
https://drive.google.com/file/d/1eGe30e7Cw4T_Cmt9MJ5QGq2njMeIPE7D/view?usp=sharing
Yes I have read and understand the Midcoast Boatyard & Marine booking information.
Required
Acceptance of our Terms & Conditions of Trade. Please review these at the link provided below.
*
https://drive.google.com/file/d/1-DFpV4xHXU-f85-Srh7ipPCs9iM_U1Es/view?usp=sharing
Yes I have read and hereby accept Midcoast Boatyard & Marine’s Terms & Conditions of Trade.
Required
Date of acceptance of Midcoast Boatyard & Marine’s Terms & Conditions of Trade
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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