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DJ's Marine Service Request Form
Get a Quote or Schedule Service
This form is a preliminary service contract before we can start to work on your boat. We will not work on your boat without this form filled out
Name
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First
Last
Email
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Confirm
Phone
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Mailing Address
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Street Address
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Watercraft location (Marina or Yacht Club)
Slip or dock Number Or letter
Boat length in feet and inches
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Watercraft or Equipment Manufacturer
Model name or number
What year is your watercraft or equipment
propulsion system
Outboard
Inboard Outdrive I / O
Inboard
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
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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
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Key Location is Required! This is very important service calls without keys are subject to one hour mobile fee of $135.00 no exceptions.
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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!
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All requests for service will authorize DJ's Marine Personnel to board and operate your vessel we will not responsible for pre-existing problems due to misuse or lack of maintenance. Customer will agree to pay the minimum mobile fee of $135.00 Please initial the field below
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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
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A $35 a day storage fee for Boats not picked within 5 business days. Please Initial the field below
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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
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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
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Services Requested or Special instruction
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