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Request Valet Services Form
Fields marked with
*
are mandatory.
Boat Owner's Full Name
*
Email Address
*
D
ate Needed
B
oat Name
Owner's Telephone Number
Requested Services:
Launch Vessel? :
Time of Arrival:
am
pm
Fuel Needed? :
gas
diesel
Number of Gallons?:
Fill it up or
gallons
CCheck the following:
Fill Water Tank
Pump Out
10lb Bag of Ice
10lb Block of Ice
Bait in Cooler (please specify):
Shrimp in Live Well:
doz. Frozen Shrimp:
doz.
Soft Drinks (please specify):
Beer (please specify):
Snacks (please specify):
Return Boat to Dry Storage Time:
am
pm
I authorize Sebastian Inlet Marina LLC to perform the above mentioned services to be performed on my vessel as described above. I grant Sebastian Inlet Marina LLC and Its employee's permission to board and move my vessel to perform the above mentioned work. A receipt for any charges incurred will be provided in the Ships Store.
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Using only numbers, what is 10 plus 15?
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