Winterization Agreement Form Customer InfoName First Last Email Enter Email Confirm Email PhoneBoat InfoYearMakeModelBoat Start CodeHull ID#:Located on the driver's side rear/transomDo you have a trailer?YesNoDo we store your trailer?YesNoWill you drop your boat off, or do you require pickup?I will drop offNeed pick upProvide the Lake address where your boat is located. Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Special instructions for boat pickup.WinterizationDo you want a call about maintenance recommendations?YesNoStorageSelect Storage OptionsPlease choose the storage option you are most interested in. NOTE: We cannot do shrink wrap if you don't have a trailer.I do not need storage, just winterizationCold indoor storage with trailerCold indoor storage without trailerShrink storage with trailerShrink storage pontoonIf dropping off for storage,What date will you be dropping off your boat? Additional Comments or QuestionsPlease list any other questions or concerns you may have here:Agree to TermsStorage & Winterization Agreement*By submitting this form I am agreeing to these terms: It is understood and agreed that Town and Country Marine is not responsible for any damage suffered by the recreational equipment by reason of fire or windstorm, theft, vandalism or other hazards. Town and Country Marine agrees to accept the recreational equipment and to store as specified above. Owner agrees to pay for such storage. I Agree This iframe contains the logic required to handle AJAX powered Gravity Forms.