Seasonal Dockage Renewal Application

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Seasonal Dockage Renewal Application

Please provide your full mailing address for invoicing purposes

E-mail invoicing is also available

<form-template>
	<fields>
		<field class="form-control text-input" type="text" name="text-1636394209055" label="First Name" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636394209600" label="Last Name" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636394209975" label="Address" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636394210166" label="Address" subtype="text"></field>
		<field class="form-control text-input" type="text" name="text-1636394210351" label="Town / City" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636395269091" label="Province / State" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636395269610" label="Postal Code / ZIP" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636395270011" label="Power or Sail" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636395270315" label="Minimum Water Depth Required" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636395344145" label="Last Years Slip Number" subtype="text"></field>
		<field class="form-control text-input" type="text" name="text-1636395344355" label="Overall Boat Length" subtype="text" required="true"></field>
		<field class="checkbox-group" type="checkbox-group" name="checkbox-group-1636400921703" label="Slip Services" required="true">
			<option selected="true" value="Hydro Water">Hydro Water</option>
			<option value="None">None</option>
		</field>
		<field class="form-control select" type="select" name="select-1636400865665" label="Method of Invoicing" required="true">
			<option selected="true" value="Mail">Mail</option>
			<option value="Email">Email</option>
		</field>
		<field class="form-control text-input" type="text" name="text-1636395344491" label="Email Address" subtype="text"></field>
		<field class="form-control text-input" type="text" name="text-1636400638690" label="Primary Phone Number" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636400639027" label="Emergency Phone Number" subtype="text"></field>
		<field class="form-control text-input" type="text" name="text-1636400639210" label="Insurance Company" subtype="text" required="true"></field>
		<field class="form-control text-input" type="text" name="text-1636400639358" label="Insurance Policy Number" subtype="text" required="true"></field>
		<field class="checkbox" type="checkbox" name="checkbox-1636400693505" label="ALL FEES AND CHARGES ARE PAYABLE IN ADVANCE OF OCCUPANCY OR SERVICE. The Owner agrees to pay for all Services in accordance with the rates as herein set forth. All fees and charges shall be payable inadvance (of occupancy or service) unless otherwise agreed. The Marina reserves the right to vary the rates, terms and conditions asset forth herein, at its sole discretion, provided that a variation in rates, terms and conditions as herein set forth shall not be bindinguntil the marina has given notice of such variation to the Owner in writing (the &amp;quot;notice&amp;quot;). The Notice may be delivered personally tothe Owner whereupon the Owner shall have two (2) days from the date the Notice is delivered to repudiate this Agreement. TheNotice may also be mailed to the Owner by ordinary mail at the address provided herein. The Owner shall be deemed to havereceived Notice eight (8) days from the date of mailing and the Owner shall have a further two (2) days to repudiate this Agreement.Upon repudiation of this Agreement, the Owner shall be entitled to obtain a pro rata refund for all services paid but not utilized.Unless the Owner advises the Marina, in writing, within two (2) days following receipt of the Notice of his intention to terminate thisAgreement, as varied, the Owner shall be deemed to have irrevocably accepted the variations of the rates, terms and conditions forwhich he received Notice.The Marina reserves the right to rent the owners assigned slip when the owner is not using it without re-imbursement. The ownershall notify marina managment when they are leaving the marina for a period of more than two days duration.A penalty of 2% per month will be charged for all outstanding fees after June 30 of the contracted season. The Owner represents and warrants that there are insurance policy or policies currently in force which shall continue in forcethroughout the term of this Agreement in connection with the ownership and operation of the Boat having limits of not less than1,000,000 for third party liability including bodily injury or death to any number of persons in any one accident and property damage. THE TERMS AND CONDITIONS ON THE REVERSE SIDE FORM A PART OF THIS AGREEMENT IN WITNESS WHEREOF the parties have hereunto set their hands and seasls the day and year first above written: * " required="true"></field>
	</fields>
</form-template>

Town of NEMI

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Seasonal Dockage Renewal Application

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