DELTA

Date

Key#

CF#

Vessel Name

Length:

1. Instructions

Read the Terms and Conditions below
All work orders must be up to date and paid at agreed upon milestones
It is requested that all parts be paid in full upon ordering
Leave your keys
Remove all items from refrigerators, freezers and bait lockers. Shut off 12Volt System. Vessel will be plugged
in one day before it is launched unless boatyard/marina is instructed otherwise.

2. Vessel Information

Vessel Name

Hailing Port

Model

Year Built

Make

Length LOA

Beam

Draft

Boat Type:

Sail

Power

Power:

Gas

Diesel

Hull ID

Doc#/Registration#

Insurance Policy Carrier

Policy Number

3. Vessel Owner Information

Owner’s Name

Address

City

State

Zip

Phone you can be reached while your vessel is with DMYC:

Alternate Contact / Phone:

Business Phone

Fax

Email Address

Vessel Name

Hailing Port

Credit Card #

Exp Date

Verify Code

Billing Address (if different from above)

Description of Boat Needs

*Services Needed

Haul-out

Bottom Paint

Seacock/Thru-Hulls

Window Replacement

Below Water Line Maintenance Or Repair

Pressure Wash

Propeller Repair/Tune-Up

Swim Platform Repair/Upgrade

Leak Detection/Prevention

Gelcoat/Paint Repair

Cutlass Bearings

Shafts & Struts

Structural Hull Integrity

Others

SERVING SF BAY AND DELTA

SERVICE WORK ORDER

Thank You

We will revert back to you soon.