BBW Intake Form (Haul, Transport, Services, etc.)

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Customer Contact Information

Date

Your Name(Required)

First Last

Your Address

Street Address Address Line 2 City ZIP Code

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

Best Time to Call You

Boat Information

Boat Name

Boat Type:

Year-Built

Make

Model

Length Overall (LOA)

Beam

Draft

Weight

Photo(s) of the boat

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.

MAST LENGHT:

Main

Mizzen

Total length mast(s) - Please add Main + Mizzen

MAST TRANSPORT:

Mast Transport

Alongside

On Deck

None

Do you need Transportation?

Transportation Info:

GROUND TYPE & CONDITION:

Pick-Up Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ground/surface conditions at Pick-up Address

e.g. asphalt, gravel, soil, flat, slopping, etc
Access path to vessel: straight, curves, etc.

Attach photos of access at pick up location

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.

Drop-Off Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Ground/surface conditions at drop-off location

e.g. asphalt, gravel, soil, flat, slopping, etc
Access path to vessel: straight, curves, etc.

Attach photos of access at drop-off location

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.

Waterfront Services:

Please select waterfront services needed

Step, Rig, Tune Mast(s)

Mast(s) wiring

Bend Sails

Hang boom

Setup dodgers/canvas

Setup running rigging

Belfast Harbor Mooring #

Enter your Belfast harbor mooring number

Yard Services:

Please select yard services needed

Pressure Wash

Mechanical

Carpentry

Paint/varnish

Yard service requested - Please describe

ENGINE MAKE/MODEL:

Need Storage?

Storage:

Please select storage needed

Winter Outdoor

Winter Indoor

Summer Outdoor

Summer Indoor

Mast(s)

Dinghy

Outboard

Additional comments?

Add your comments and/or additional inquiry here.

Comment/Additional Inquiry Here

Belmont Boatworks Intake Form (Haul, Transport, Services, etc.)

Next Steps: Sync an Email Add-On

Customer Contact Information

Boat Information

Transportation Info:

Waterfront Services:

Yard Services:

Storage:

Additional comments?