Work Request

If you need maintenance or any work done to your vessel please submit it here with this form. Thank you.

(*) Required

Contact Info


Your Name*:
Owners Name:
Address*:
Home Phone:
Office Phone:
Fax:
Cell Phone:
Email*:

Vessel Info


Arrival Date:
How will boat arrive at marina: By trailerBy water
Departure Date:
Vessel Year*:
Vessel Length*:
Vessel Make*:
Vessel Model:
Vessel Name:
Vessel Beam:
Vessel Draft:
Total height of vessel (prop to highest point):
Weight:
Vessel Propulsion:
Motor operatingYesNo
Engine Make:
Engine Model:
Engine Years:
Engine Hours:
Number of Engines: 123456
Type of Engines: OutdriveOutboardStraight shaft
Vessel Photo:
Description / condition of customer trailer

Vessel Registration


Registration*:
State*:
Expiration Date*:
USCG Documentation No./or Florida Vessel I.D. No:
Hin#:

Credit card verification


I HEREBY AUTHORIZE BANYAN BAY MARINE CENTER TO USE THE PROVIDED PAYMENT INFORMATION (IN MY ABSENCE) FORTHE SOLE PURPOSE OF PAYING THE STORAGE FEE AND SUCH OTHER CHARGES FOR PRODUCTS AND SERVICES RENDERED,AND WILL NOT DISPUTE THE CHARGES, BY SIGNING BELOW:

Last Name:
First Name:
Card Type:
Card Number:
VV2 Security Code:
Expiration Date:

I HEREBY ACKNOWLEDGE THAT I WILL MAINTAIN INSURANCE AND REGISTRATION, PROVIDING PROOF OF SUCH TO BANYAN BAY MARINE CENTER, LLC.

Insurance Info


Insurance Carrier*:
Policy #*:
Expiration Date*:

I HEREBY ACKNOWLEDGE THAT I WILL MAINTAIN INSURANCE AND REGISTRATION, PROVIDING PROOF OF SUCH TO BANYAN BAY MARINE CENTER, LLC..

Work Request


Additional pressure wash at $75
Wet sanding @ $55 per hour plus parts
Topside detailing @ $12 – $16 per ft depending on condition.
Fiberglass / Gel Coat / Paint work / Mechanical / Electronics ? Labor @ $75 plus materials. Bigger jobs will have a reduced rate.
OutBoard Engine Service Mercury / Suziki Labor @ $95 per hour.
OutBoard Engine Service Yamaha Labor @ $ 110 per hour
InBoard Engine Service Mercrusier / Vovlo Penta Labor rate @ $75 per hour.
Work Requested:



Complete below at Banyan Bay Marina Office:


☐ I Agree to the terms and conditions.
Owner(print): Signature: Date:
RECEIVED AND APPROVED BY: Banyan Bay Representative Date: