Captain Doug's Marine Service- Service Request Form

ATTENTION CUSTOMERS:
Please do not drop off a boat without a completed service request and a confirmed drop-off appointment.
Do not drop any boat in the grass lot across the street.

Service Request Form

* Indicates required field

Name *

First

Last

Phone Number *

Email *

Requested Service Work *

I AUTHORIZE CAPTAIN DOUG'S MARINE SERVICE TO PERFORM THE ABOVE WORK AND ANY VERBALLY APPROVED WORK WITH THE FOLLOWING LIMITATION OF LIABILITY. LIMITATION OF LIABILITY: CAPTAIN DOUG'S MARINE SERVICE LLC AND ALL AFFILIATED PARTIES SHALL NOT BE RESPONSIBLE OR LIABLE IN ANY WAY FOR: (A) ANY LOSS OF OR DAMAGE TO VESSELS; OR (B) ANY LOSS OR DAMAGE TO ANY ARTICLES, EQUIPMENT OR PERSONAL PROPERTY INCLUDING AS A RESULT OF THEFT; OR (C) PERSONAL INJURY OR DEATH OF OWNER, HIS EMPLOYEES, GUESTS, AGENTS OR REPRESENTATIVES. SERVICE REQUESTS REQUIRE THAT VESSELS ARE ADEQUATELY COVERED BY PRIVATE INSURANCE FOR ALL LOSSES. I UNDERSTAND THAT ALL INVOICES WILL BE CHARGED A SERVICE FEE OF 3.5% IF PAID BY CREDIT CARD. *

I agree

Submit