Winterization Agreement Form Customer InfoName First Last Email Enter Email Confirm Email PhoneBoat InfoYearMakeModelBoat Start Code (Malibu's only)Do 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 AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal 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 pontoonShrink storage without trailerIf dropping off for storage,*What date will you be dropping off your boat? Date Format: MM slash DD slash YYYY 2nd Choice if First Date is not Available*What date will you be dropping off your boat? Date Format: MM slash DD slash YYYY 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.