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Private Mooring Contract

Please Print when filling out this contract

Your Name:_________________________ Address:___________________________ City, State, Zip:______________________ Home Phone #:______________________ Work Phone #:______________________ Cell Phone #:________________________

Please check off your mooring weight _____100 pound mooring _____150 pound mooring _____200 pound mooring _____250 pound mooring _____300 pound mooring _____500 pound mooring _____Other ______________

Boat Name:___________________________ Registration #:________________________ Power or Sail:_________________________ Manufacturer:_________________________ Length:_______Weight:_________________ E-Mail Address________________________

Year _________ _________ _________

Authorization ______ Set Private Mooring Spring / Summer ______ Pull Private Mooring Fall / Winter ______ Store Private Mooring Winter

DESCRIPTION OF CHAIN BUOY AND TALL BUOY: Please fill out ALL the blanks CHAIN BUOY WRITING ON BALL: COLOR: SHAPE: _____________________ _____________________ _____________________ PICK UP STICK ___________________ ___________________ ___________________

GENERAL LOCATION: EXAMPLE: Northwest corner of harbor by Boathouse etc. _____________________________________________________________________________________ DETAILED LOCATION: Please enter names of surrounding vessels. _____________________________________________________________________________________ I HEREBY AUTHORIZE SEYMOUR'S BOAT YARD TO SERVICE MY MOORING.

Please note that while we make every effort to set your mooring in the requested location, the safety of your vessel and surrounding vessels will govern the final placement. It is expressly understood and agreed that Seymour's Boatyard assumes no responsibility in the event that the mooring is lost through theft, vandalism or act of God, either before or after the mooring is handled. Seymour's Boatyard does not accept any responsibility for damage to boats which break away or drag during heavy weather, act of God or for damage due to chafing lines. If the mooring is to be stored at Seymour's Boatyard, all repair work must be performed by Seymour's Boatyard.



Microsoft Word - private.doc

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Microsoft Word - private.doc