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Lake Country Marina Vessel Storage Contract 2022/ 2023 Year



Review Privacy Policy

Lake Country Marina assumes no responsibility for damage or loss to boats, trailers, or other personal property stored with us, whether caused by fire, lightening, water, cyclone, tornado, wind storm, hail, explosion, theft, malicious mischief, collapse of building, other hazard or casualty of any kind or any combination of foregoing or other hazard or casualties and whether or not caused by our negligence or acts or failure to act. Every owner is urged to insure property at all times in a suitable amount, against possible hazards and casualties.

I Agree

50% of the storage fee and 100% of the winterization cost will be billed out this Fall, the remaining 50% of the storage fee will be billed out the following Spring and must be paid in full before the above will be released from storage.

I Agree

7 to 10 days notice is required for release from storage.  

I Agree

January 28, 2023

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information

Billing Address: *

Lake Address if different from billing address:
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Second Participant's Date of Birth*
Second Participant's Information

Billing Address: *

Lake Address if different from billing address:
Third Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Third Participant's Date of Birth*
Third Participant's Information

Billing Address: *

Lake Address if different from billing address:
Fourth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Billing Address: *

Lake Address if different from billing address:
Fifth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Billing Address: *

Lake Address if different from billing address:
Sixth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Billing Address: *

Lake Address if different from billing address:
Seventh Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Billing Address: *

Lake Address if different from billing address:
Eighth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Billing Address: *

Lake Address if different from billing address:
Ninth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Billing Address: *

Lake Address if different from billing address:
Tenth Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Billing Address: *

Lake Address if different from billing address:
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
This is to certify that we have received and hold in storage the following:

Boat/Pontoon Manufacturer:

Model:

License #:

License #:

Lenght: _________ Ft. *

Motor Brand:

Motor Size: _____________ h.p.
Trailer: *
Yes
No
Please specify if you would like inside or outside (shrinkwrapped) storage. To secure an inside spot we require a $50 deposit. (INSIDE PONTOON STORAGE IS FULL FOR 2022/2023) *
Outside
Inside (BOATS ONLY)
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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Billing Address: *

Lake Address if different from billing address:
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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