Harrison Hot Springs Marina

First Name:

Last Name:

Email:

Address:

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Home Tel:

Cell Tel:

Make:

Model:

Overall Length in feet:

Length from tip to tip in feet, including bow sprit to swimgrid:

Beam in feet:

Width of vessel at its widest point in feet:

Boat Name:

Deck Colour:

Cabin Colour:

Hull Colour:

Registration Number:

Do you have greater than $2,000,000 Liability Insurance on your boat?:
Yes
No

What are your primary interests?:
Annual Moorage
Other (please use Comments section below to elaborate)

Comments: