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.
Email address *
First Name *
Your answer
Last Name *
Your answer
Boat Name
Your answer
Slip/Mooring Location
Your answer
Boat Type/Make
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? *
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