EmailMe Form - DJ's Marine Service Request Form

Name *

First Last

Email *

Confirm

Phone *

### - ### - ####

Mailing Address *

Street Address City State / Province / Region Postal / Zip Code Country / Region

Customer will agree to pay the minimum mobile fee of $135.00 Please initial the field below *

Key Location is Required! This is very important service calls without keys are subject to one hour mobile fee of $135.00 no exceptions. *

Watercraft location (Marina, Yacht Club or Storage)

Slip or dock Number Or letter

Boat length in feet and inches *

Watercraft or Equipment Manufacturer

Model name or number

What year is your watercraft or equipment

propulsion system

How many engines ?

Engine Manufacturer Horsepower and Year

Do you know how much fuel is in the tanks and what the capacity is

Name on the back of the boat

Valid Registration Letters and Numbers *

We are not responsible for Electronics or any other items left in or on any boat at our shop for service or storage. Make sure these items are removed initial below *

A valid Credit Card must be on file for a minimum amount with the office before we can order parts or provide services we will contact you after the service request has been received. Please Initial Below.
DO NOT ADD CREDITCARD INFORMATION HERE JUST INITIAL! *

All requests for service will authorize DJ's Marine Personnel to board and operate your vessel we will not be responsible for pre-existing problems due to misuse or lack of maintenance, or tired engines failing during testing or troubleshooting. *

Unless otherwise stated or discussed with management there will be a 5% interest charge per month starting after the first 5 day grace period on completed billed services all bills are due on reciept *

A $35 a day storage fee for Boats not picked within 5 business days. Please Initial the field below *

Boats at the shop for storage. Year round Insurance is required. Our insurance will not cover Theft, Fire, vandalism or natural disaster. Please add your insurance information here or make arrangements with the office *

Very important! Boats with running problems are required to pay for a Sea trial after any repair work is performed to test the repairs. If customer opts out of a sea trial the boat will need to come back to the shop for further diagnostics or repairs and will be charged for a sea trial 2 mobile hours. If the boat is repaired at mobile location and not sea trialed, we will charge 2 mobile hours for retuning and charged additional mileage over 5 miles distance *

When was the last time the engines ran and the boat was it taken for a ride? And are the batteries charged? *

Services Requested or Special instruction *