EmailMe Form - de Rouville's Boat Shop Winter Work Order Form

Today's Date

MM / DD / YYYY

Name *

First Last

Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email (to send Invoice) *

Other Email (to send a copy of Invoice)

Cell Phone *

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

Other Phone

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

Boat Name *

Boat Year

Boat Length

Boat Make

Boat Drop Off Date (Rough Idea) *

MM / DD / YYYY

Requested Haul Date

MM / DD / YYYY

Requested Launch Date (Rough Idea) *

MM / DD / YYYY

Winter Storage: *

Choose all that apply:

Shrink Wrap Boat (Sail boat with mast up and wood boats must be approved by office.)

Install Door (Zippered) in Shrink Wrap

Acid Wash Waterline/Hull/Bottom (will be done if needed)

Derig and Unstep Mast

Spar Storage - Inside *Wooden Spars Only*

Spar Storage - Outside

Sail Storage - Inside Shelf

Dinghy Storage on Rack

Cover w/ Owner's Cover

Winterize Engine(s)- Please select all that apply below:

Engine Information: (type, make, model, serial numbers, cylinders, stroke, HP, year, etc.)

Quantity of Engine(s)

Winterize System(s)

Other options:

Haul and Load on Trailer (to be picked up)

Quick Haul (for service)

Power Wash Bottom (included in some winter storage options)

Acid Wash Hull/Boot Stripe

Haul, Block and Launch (for service)

Hurricane Haul/Launch (inquire for price)

Prop Work (Remove, Recondition, & Reinstall)

Description of additional winter work:

Please attach any available pictures
or email pictures to contact@deRouvillesBoatShop.com.