Booking Form

Hartman Cove Marine Services Booking Form

Hartman Cove Marine Services
Booking Form

THIS AGREEMENT is made and entered into this , by and between Grenada Green Boatyard and Marine Services Ltd., a company duly incorporated under the laws of Grenada and having its registered office at St. George, Grenada (hereinafter referred to as “GGBM”), and

Agreement Date

Print Agreement Name

Owner/Authorized Person Details

First Name

Last Name

Address

Mailing Address:

Telephone:

Registered Boat Name:

Boat Details

Registration#:

Country of Registration:

Insurance Coverage:

Provider

Boat Type:

M. / Ft.

Length (LOA):

Beam:

Draft:

Disp. (ton):

Keel type:

Full

fin _______,

bilge ______,

Wing

other

Haul out date

Launch Date

Boats are required to leave a key / combination at the office in case of emergencies.

Deposit paid:

Credit Card Information

Card type:

Card Number

Expiry

I, the undersigned, hereby authorize Grenada Green Boatyard and Marine Services Ltd. (“GGBM”) to charge the credit card referenced above for all amounts due and payable in accordance with the terms of the relevant invoice(s). Such charges may be processed on or after the applicable due date.
I acknowledge and agree that my credit card information will be securely retained by GGBM solely for the purpose of facilitating payment of outstanding charges, unless and until I submit a written request for its removal.
Invoices and receipts for any charges processed will be issued to the address provided above, unless collected in person prior to dispatch.

Cardholder Name:

Cardholder signature:

Date

Date / Time

Hartman Cove Marine Services
Booking Form

Owner/Authorized Person Details

Boat Details

Boat Type:

M. / Ft.

Keel type:

Credit Card Information

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