Request Moorage

Your Name:

WSC Member Number:

Your E-mail Address:

Your Street Address:

City:

State:

Zip Code:

Day Phone:

Evening Phone:

Type of Moorage Desired

Dock ($52.50 per month)

Lot ($42.00)

Lot, over 18 ft. ($63.00)

Laser Rack ($21.00)

Wet ($3.15 per ft. per month)

Type of Boat:

Length:

(ft)

Boat/Trailer Color/Description:

Hull Number (HIN):

Note: The HIN can generally be found on the transom of the boat or on a plate inside the boat. The HIN is REQUIRED for moorage.

1st Choice:

2nd Choice:

3rd Choice:

Comments: