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Marina Westlake -- Boat Info
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Who we gona CALL ??????? Thanks for your cooperation
Dock Finger ( A-G )
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Your answer
Dock Number ( 1-30 )
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Your answer
Own or Lease
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Choose
Own
Lease
FIRST Name
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Your answer
LAST Name
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Your answer
Email
Your answer
Address ( House Number and Street - apt # )
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Your answer
Address ( City )
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Your answer
Phone Number ( 10 digit Cell or Best ) xxx.yyy.zzzz
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Your answer
Home Phone number ( Alternate 10 digit xxx.yyy.zzzz)
Your answer
Work Phone number ( Alternate 10 digit xxx.yyy.zzzz)
Your answer
Boat Name
Your answer
State Registration Number ( OH 1111 ZZ )
Your answer
Boat Manufacturer
*
Your answer
Boat Model
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Your answer
Boat Model Year
Your answer
Boat Length Overall ( feet with approx decimal - ex 28.5 )
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Your answer
Boat Beam ( feet with approx decimal - ex 8.5 )
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Your answer
Boat Color
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Your answer
Boat Power
Outboard
Inboard/Outboard I/O
Inboard
Clear selection
Single or Twin
Single
Twin ( or more )
Clear selection
Horsepower per Engine
Your answer
Insurance Company
Your answer
Insurance Policy Number
Your answer
Insurance Agent Name ( First and Last )
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Insurance Phone Number ( xxx.yyy.zzzz )
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EMERGENCY CONTACT (name other than above )
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EMERGENCY CONTACT Best Phone ( xxx.yyy.zzzz )
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EMERGENCY CONTACT Alt Phone ( xxx.yyy.zzzz )
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