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de Rouville's Boat Shop Winter Work Order Form
Thank you for choosing de Rouville's Boat Shop.
Please list any additional winter work in the field below.
We look forward to working with you.
Spring Work Order Forms will go out in early Spring.
Today's Date
MM
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Name
*
First
Last
Mailing Address
*
Street Address
Address Line 2
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
Email (to send Invoice)
*
Other Email (to send Invoice)
Cell Phone
*
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Other Phone
###
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Boat Name
*
Boat Year
Boat Length
Boat Make
Boat Drop Off Date (Rough Idea)
*
MM
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DD
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Requested Haul Date
MM
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DD
/
YYYY
Requested Launch Date (Rough Idea)
*
MM
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DD
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Winter Storage:
*
Please select one
Dry Storage (Haul, Power Wash, Block, Store, Launch in the spring.)
Covered Dry Storage (Haul, Power Wash, Block, Store, Launch in the spring.) Approval required.
Covered Dry Storage on Trailer (Haul, Power Wash, Load, Load on Trailer, Store, Launch in the spring.)
Storage on Trailer (Haul, Power Wash, Load, Store, Launch in the spring.)
Wet Storage (Bubbled Slip, electric extra)
Storage on Trailer Only
No Storage - Will Pick up Boat
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:
Winterize Gas Inboard Engine(s)
Winterize Diesel Inboard Engine(s)
Winterize Outboard Engine(s)
Change Engine Oil & Filter(s)
Change Engine Fuel Filter(s)
Winterize Generator
Change Generator Oil & Filter
Change Generator Fuel Filter
Store & Service Outdrive(s)
Engine Information: (type, make, model, serial numbers, cylinders, stroke, HP, year, etc.)
Quantity of Engine(s)
Winterize System(s)
Air Conditioner(s)
Dockside Water Inlet
Fresh Water System
Head & Holding Tank(s)
Ice Maker
Livewell
Salt Water Wash Down
Shower Sump
Wash Down
Water Heater (ByPass)
Windshield Washer
Other - list below
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.
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