7401 E. Harbor Road
Marblehead, OH 43440
419-734-2228
Toll Free: 1-888-641-2525
Fax: 419-732-2918
Owners Name: ______________________________
Address: ____________________________________
City/State/Zip: _______________________________
Home Phone: ________________________________

Work Phone: ________________________________
Cell Phone: __________________________________ Year: ______________ Make: ______________
Fax Number: ________________________________ Boat Length: _______ Beam: ______________
E-Mail Address: ______________________________ Boat Name: ______________ OH#: _________
Location of
Keys: _____________________________
Number of Engines: _______Engine HP_______
Make
of Engines: ________________________
Requested Services: (Please check)
____ Yes _____ No Untie & Deliver Boat to Hoist (*Owner not Present) $40.00 $ _____________
____ Yes _____ No Lift/Haul Out:
· 25 or Under ($50 minimum charge) ...
· 26 to 29 ______ x $2.50 per foot .. ... .
· 30 to 35 ______ x $3.50 per foot ..
· 36 and Up ______ x $4.50 per foot .. $ _____________
____ Yes _____ No Scrub Bottom / Outdrives:
· Painted Bottom: Length _____ x $2.00 per foot .
· Unpainted Bottom: Length ____ x $ 6.00 per foot $ _____________
____ Yes _____ No Engine Oil Change: (Includes oil and filter) PLEASE DO IN FALL
· # of Engines _____ x $69.00 ea. . ... $ _____________
____ Yes _____ No Lower Unit Oil Change: _
· # of Engines _____ x $45.00 ea. . .... $ _____________
____ Yes _____ No Winterize Engine: (Includes Propylene & Fog)
· # of Inboard and I/O ______ x $ 95.00 ea
· # of Outboard ______ x $ 50.00 ea .. $ _____________
____ Yes _____ No Winterize Water System:
· Cold Only $45.00
· Hot and Cold $50.00 .. $ _____________
____ Yes _____ No Winterize Raw Water Wash down: $40.00 $ _____________
____ Yes _____ No Winterize Head: $40.00 .. $ _____________
____ Yes _____ No Winterize Generator:
· Winterize Only $55.00 w/Oil & Filter + $40.00 $ _____________
____ Yes _____ No Winterize Ice Maker: $35.00 .... .... .$ _____________
____ Yes _____ No Winterize Air/ Heating System: $45.00. $ _____________
____ Yes _____ No Mildew Bags: # Desired ______ x $7.95 $ _____________
____ Yes _____ No Fuel Stabilizer ($10.00 per 100 gallons of fuel / $5.00 minimum)$ _____________
____ Yes _____ No Store on Owners: (Boats on Cradle or Jacks Require Blocks for Keel)
· ___Trailer ___ Cradle ___ Jacks Blocks $ 20.00 . $_____________
____ Yes _____ No Purchase Jackstands. # Desired ______ x $ 80.00 ea. $ _____________
____ Yes _____ No Rent Jackstands # Desired ________ x $25.00 ea $ _____________
____ Yes _____ No Transport to MC Storage: (Free with 2008 Dock Lease) $55.00 $ _____________
____ Yes _____ No Transport to _____________ $75.00 per man/ per hour. 60 Min $ _____________
____ Yes _____ No Shrink Wrap:

· 17-25 x 6-8
$12.00 x____ Length
$ ____________
· 26-30 x 6-8 $13.50 x ______Length . $ ____________
· 23-32 x 9-10 $14.50 x ______Length .. $ _____________
· 33-40 x 9-10 $15.50 x ______Length . $ _____________
· 30-44 x 11-12 $16.50 x ______Length . $ _____________
· 30-44 x 13-15 $18.50 x ______Length . $ _____________
· Vents: $ 4.00 x _____ Qty Desired . $ _____________
· Door: .$45.00 $ _____________
Mandatory Shrink
Wrap Removal (Brokerage Only) $30.00 $ _____________
____
Yes _____ No Winter
Storage:
·
Outside:
.
_____Length x $ 10.00
.
· Outside w/ Shrink Wrap _____Length x $ FREE
· Inside _______Sq Ft (Overall L x W=SQ) x $ 2.75 ..
· Inside Heated ____Sq Ft (Overall L x W = SQ) x $ 6.00 . $ ____________
SUBTOTAL ..$_____________
6.5% SALES TAX...$ ____________
$100.00 Non-Refundable deposit required GRAND TOTAL DUE $ ____________
I authorize the above work to be performed. *Marine City, LLC or its employees shall not be liable at any time for loss, damage, personal injury of items, owner or others occasioned by fire, theft, vandalism, weather, water levels or any other casualty loss whatsoever. Boat owner shall carry adequate insurance to cover loss or damage to boat or contents and for any personal injury or property damage. MC not responsible for batteries.
Signature: ________________________________________ Date: ___________________________