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APPLICATION FOR BOAT SLIP RENTAL
Lighthouse Marina @ Oak Orchard Creek

Please print
Name:________________________________________________________________
Address:______________________________________________________________
City/State/Zip:_______________________________________County:____________
Home Phone:_______________________BusPhone:________________________________
e-mail_______________________
                                                                                                       25' slip             35' slip
Transient Rates Daily  (6 days or less)                                 $ 15.00           $ 20.00
                                               Weekly                                             $ 50.00         $ 120.00
Seasonal Rates Monthly                                                            $ 100.00         $ 250.00
                                                Season                                            $ 350.00          $750.00
Please circle: TRANSIENT                      SEASONAL              
*Seasonal renters shall complete Lease Agreement and provide proof of Fire, Theft and Liability Insurance.
Dates for Transient renters / Arrival:_______Depart:_______TotalNights:________
Dates for Season renters    / All season: ________or Months of:________________
assigned slip #:_________________ Total Rental Fee:$________________________
BOAT INFORMATION
Boat Name:_________________ Make/Model:________________ Year:___________
Propulsion, please circle:                                 Power                     Sail
Registration # (Required):____________________________________________________________
Signature:_____________________________________________________________
(Seasonal lessee acknowledgement of rental contract)
Return completed form to: phone 843-813-3020
Timothy Young
PO Box 722
Chappaqua, NY 10514
Phone 843-813-3020
***QUIET HOURS ARE 9:00PM TO 6:00AM***
THANKS FOR DOCKING AT Lighthouse