APPLICATION FOR BOAT SLIP RENTAL
ORLEANS COUNTY MARINE PARK
Office Use
Date Rec’d__________
Cash/Check #________
.
Amount $____________
Please print
Name:
Address:
City/State/Zip:
County:
Home Phone:
Bus Phone:
E-Mail Address:
24' slip 28' slip
Transient Rates Daily (6 days or less) $ 21.00 $ 21.00
Weekly $ 116.00 $ 137.00
Seasonal Rates Monthly $ 263.00 $ 289.00
Season $ 945.00 $1,050.00
SEASONAL RATE *
* Seasonal renters shall complete
Lease Agreement and provide proof
of Fire, Theft and Liability Insurance.
Dates for Transient renters / Arrival:
Depart:
Total Nights:
Dates for Season renters / All season:
or Months of:
Dockmaster assigned slip #:
Total Rental Fee:
$
**************************************************************************************************************************
BOAT INFORMATION
Boat Name:
Make/Model:
Year:
Propulsion (Please Circle):
Power
Sail
Registration # (Required):
Return completed form to:
Dockmaster, phone (585) 682-3641
or
James Bensley, Marine Park Manager
Orleans County Planning Department
14016 Route 31 West
Albion, NY 14411
Phone (585) 589-3198
Signature:
Date:
Application and Lease Agreement may be downloaded from
www.OrleansCountyMarinePark.com
click to sign
signature
click to edit