Customer Info

First Name *

Last Name *

Address 1 *

City *

State *

Postal Code *

Phone *

Email Address *

How did you hear about us?

Services Requested

Cleaning Services *

Frequency

Add extras e.g., dock cleaning, sea doos, etc.

Notes (Be As Detailed As You Want)

Boat Info

Marina

Dock & Slip Number

Boat Make *

Boat Length *

Boat Name (If Any)

Year

Boat Location

Boat Color

Payment Information

Preferred Payment Method *

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

Promo Code

I understand that after my service is scheduled, I must cancel within 48 hours prior to service or normal charge will apply. I authorize Ship Shape Services to charge my credit card that is on file for any outstanding balance greater than thirty (30) days.

I agree that Ship Shape Services is not responsible for the loss or damage of any personal items left on the watercraft.

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