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