Service Application Form

Click here to download Application form.

Personal Information

Boat Information
First Name * Boat Name *
Last Name * Manufacturer
Middle Initial(s) Colour
Address Registration No.
Parish/City Location
Postal Code Mooring No.
Home Phone * Insurance Co.
Mobile Phone Areas Frequently
Visited
Work Phone
Fax
Email *

Basic

Zone A - $175
Free Towing
Free Gas Drop
Free Battery Jump
Free Soft Ungroundings

Extended

Zone B - $250
Free Towing
Free Gas Drop
Free Battery Jump
Free Soft Ungroundings

Premium

Zone C - $350
Free Towing
Free Gas Drop
Free Battery Jump
Free Soft Ungroundings
Twice monthly visits and inspection to boat at home mooring or dock


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