DRAFT MARINE
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(386) 451-3979
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REQUEST Service Form
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Indicates required field
Name
*
First
Last
Email
*
Phone Number
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Date Dive Needed By
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Month & Day
Vessel Name
*
Vessel Length
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FT.
Address Vessel Is Located
*
Line 1
Line 2
City
State
Zip Code
Country
Slip Number
*
Reoccurring Cleaning Schedule
*
Every 2 Weeks
Every 4 Weeks
Every 6 Weeks
One Time Cleaning
Special Requests or Concerns
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Last Cleaning Date
*
1st Cleaning
1 Month Ago
2 Months Ago
3 Months Ago
4 Months Ago
5 Months Ago
6 Months Ago
Over 6 Months
Unknown
If known
Age of Bottom Paint
*
Less than 6 Months
6 Months
12 Months
18 Months
24 Months
Over 24 Months
No Bottom Paint
Unknown
Choose approximate if known
Check all that apply
*
Inboard
Outboard
I/O - Stern Drive
Pod Drives
Pontoon/Tritoon
Prop Speed
Bow Thruster
Hydraulic Swim Platform
What were some of the things you liked or disliked about your previous diver?
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Upload current picture of boat
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Forms of payment accepted are Cash, Checks, Visa, MasterCard, American Express, Discover,
Zelle, Venmo, ApplePay.
Invoices will be sent to the email provided and are due upon receipt.
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