Booking Information
Completion of this form is required to confirm a Midcoast Boatyard & Marine job booking.
Email address *
Clients Full Name: *
Company Name:
(if applicable)
Phone Number *
Billing Address: *
# Street, Town, State and Postcode
Vessel Name and Type
Vessel Lenght (Feet)
Vessel Weight (Tonne)
Vessel Beam (Metre)
Vessel Draft (Metre)
Brief description of work request or job: *
This can be as brief or details.
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.
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Approximate arrival time (if applicable):
Acknowledgment of our booking information and need to know items. Please review this information at the link provided below. *
Required
Acceptance of our Terms & Conditions of Trade. Please review these at the link provided below. *
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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