Dry Stack Request Form


Please reserve my space in the new dry-stack shed. If paying by
Visa/Mastercard, I authorize Bayside Marine to charge my credit
card $50.00 for this expense.

Please Print
 

Name            _______________________________________

 

Address_________________________________City__________________

State____Zip______Phone Home________________Cell_______________

 

E-mail_______________________________________

 

Boat:

Year______ Wn #_______Make____________  Model__________

 

          Number of Engines_____Engine make_____________Model________
 

          Overall Length_______Overall Width_______Overall Height_________

          Insurance Carrier_________________________ 


Method of payment:             Check (enclosed)         Visa/Mastercard (bill to)

 

Card number_____________________Expiration date___Check digits____

 

Name on card____________________________________

 

Card Billing address____________________City____________State___Zip______

 

Printed Name_______________________________________

 

Signature_______________________________________Date_________________


 

 Mail this completed form along with payment to:
 

Bayside Marine
1111 Craftsman Way
Everett, WA 98201
425-252-3088