| First Name: | |
| Last Name: | |
| Home Address: | |
| Home City: | State: Zip: |
| Daytime Phone #: | |
| Evening Phone #: | |
| Fax #: | |
| E-mail: | |
| Name of Vessel: | |
| Length of Vessel (L.O.A.): | |
| Draft: | |
| Beam: | |
| Single or Double Screw: | |
| Height of Main Mast (Sailboats Only): | |
| Electrical Requirements: | |
| Date of Arrival Month, Day,and Year) | |
| Duration of stay(# of nights): | |
| How did you hear about us?: | |
| Have you stayed with us before? | Yes No |
| Please note any comments or questions here: | |
If
you have a problem using this form, you may email
us or fax your reservation
request to(305) 751-7652. You may also call us at: (305) 751-3700, or (305)
754-0795.