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OSELKA MARINA

514 W. WATER ST.

NEW BUFFALO, MI 49117

 

2025 SLIP RESERVATION REQUEST FORM


Please complete the information below to join the waitlist for a 2025 Slip Rental.


We will be in touch as soon as a slip becomes available.  

 

 

 

First Owner's Name
First Name*
Last Name*
Phone*
First Owner's Age Acknowledgment*
First Owner's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
First Owner's Signature*
Second Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Second Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Third Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Third Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Fourth Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Fourth Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Fifth Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Fifth Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Sixth Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Sixth Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Seventh Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Seventh Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Eighth Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Eighth Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Ninth Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Ninth Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Tenth Owner's Name
First Name*
Last Name*
Owner's Date of Birth*
Date of Birth
Tenth Owner's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address
Email*
Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Boat Details
Boat Name
State Registration or Documentation Number
Boat Year
Boat Make and Model
Boat Length Over All (LOA)
Boat Beam (Width)
Boat Draft (depth)
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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