Slip Reservation Form

HARBOUR ISLAND MARINA SLIP RESERVATION FORM
YOU MUST COMPLETE THE FOLLOWING AND FAX BACK TO US AT 1-242-333-3040 IN ORDER TO RESERVE A SLIP
DATE: BOAT NAME:
LENGTH: BEAM: DRAFT:
ARRIVAL DATE: DEPARTURE DATE:
NAME OF PILOT USED (IF ANY):
PLEASE PRINT THE OWNER AND CAPTAIN INFORMATION BELOW
OWNER	CAPTAIN
NAME:	NAME:
ADDRESS 1:	ADDRESS 1:
ADDRESS 2:	ADDRESS 2:
CITY:	CITY:
STATE:	STATE:
ZIP:	ZIP:
PHONE:	PHONE:
YOUR FAX NUMBER (NECESSARY):
YOUR EMAIL ADDRESS:
Credit Card No_______________________________________________________ Exp. Date__________________ MC VISA (We Do Not Accept AMEX) 3 digit Card Verification Value (CVV # on back of card) _________ Signature______________________ Print Name___________________________
PLEASE NOTE: This form must be completed and faxed back to us at 242-333-3040 before we can reserve a slip for you. You will be given a confirmation number which will be needed upon your arrival.
Dockmaster: Hortense Rolle Phone Toll Free: 800-492-7909 Phone: 242-333-2427 Fax: 242-333-3040 Email - dockmaster@harbourislandmarina.com	For golf cart rentals, please contact one of the following rental agencies- Ross's Garage 242-333-2122 Sunshine Rentals 242-333-2509 Johnson's Rentals 242-333-2376

HARBOUR ISLAND MARINASLIP RESERVATION FORM