Sign up to be a Friends of Casco Bay pumpout customer for the 2017 season (we provide service South Portland to Freeport)
In order to better serve you, Pumpout Captain Jim Splude and Friends of Casco Bay ask you to fill out this form. This will register you as a customer for this season. If you have any questions please give us a call at (207) 799-8574.
First Name
Your answer
Last Name
Your answer
Boat Name
Your answer
Boat Type/Make
Your answer
Slip/Mooring Location
Your answer
Waste Deck Plate
Where can we assess your waste tank?
Your answer
Waste Tank Capacity
Your answer
Mailing address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Best Phone Number
Your answer
Phone Type
Can we text you at this number?
Email address
Your answer
Submit
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