Haul-Out Request

Newburyport Yacht Club
Haul-out and Power Wash Request updated 9/18/17

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*Required fields.

First Name:

Last Name:

Date:

Home Phone:

Cell Phone:

Work Phone:

Email:

Boat Name:

Make & Model:

Requested Haul Date:

(*) Length Overall (LOA), the overall length of your boat, must include pulpits, motors, bowsprits, swim platforms and any other “extensions”.

Please round-up to the next foot if necessary (i.e. 40 feet 4 inches would be 41 feet) for LOA.

POWER WASH

In accordance with federal and state environmental regulations and with Club policy, members and renters are specifically prohibited from power washing their boats. Power washing is to be performed by authorized Club personnel only, and only on the haul out mat.

Members power wash rate:

up to 30’ $100.00

31’ – 40’ $125.00

41’ – 50’ $150.00

Total Due for Power Wash: $[field31]

By prior arrangement, and at your own risk, you may berth your boat on the haul docks the evening prior to the day your haul is scheduled, and you do not need to be present. Otherwise, at the time of your scheduled haul, you must be tied up on the inside of G Dock, and you or your representative and at least one other crew member must be present to assist with the haul.

We do not haul before 7:00 am or after 5:00 pm.

No member’s boat will be hauled unless the member is current with his/her financial obligations to the Club and other wise deemed to be in “good standing."

If you are not a member, you must also fill out a Seasonal Membership Application for Winter or Winter/Summer.

Electronic Signature:

Date:

Items	Qty	Total
Power Washing Fees:	1	[field31]

*Required fields.

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