Lake Monroe Marina Bloomington, Indiana

Partyboat Rental - Open and Covered Slips - Ship Store

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Info Form

Lake Monroe Marina

5505 E St Rd 446

Bloomington, IN  47401

812-837-9394

www.lakemonroemarina@yahoo.com

 

Slip Rental Renewal Form

 

If you wish to renew your current slip please complete the following information even if there have not been any changes since your last contract.  Then please sign at the bottom and return with your payment in cash, by check, or with a money order..

 

Name:__________________________________________________________________

 

Address:________________________________________________________________

 

City, State, Zip___________________________________________________________

 

Primary Phone:______________________ Secondary Phone_______________________

 

E-Mail Address_______________________________________________

 

Boat Make__________________Length_________  Registration #__________________

 

Emergency Contact (not you)________________________________________________

 

Emer. Contact Phone__________________________

 

Current Boat Insurance Company_____________________________________________

 

Policy #_____________________________________

 

By signing below I confirm the above information and agree to the terms as specified on the original contract.

 

 

Signature of Renter

 

 

 

Date