REGULAR.PHP - SAILING EMPORIUM

REGULAR (Yard) WORK ORDER
(This standard work order can be ordered anytime)
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NOTE: All fields prefaced by field names
in red must contain an entry.

Your Name:

E-mail address:

Owner's Name:

Address 1:

Address 2:

City:

State: Zip:

Day Phone:

Other Phone: FAX:

Date Submitted:

Boat Name:

Boat Make:

LOA:

Draft:

Engine Make/Model:

Location of Key, or Lock Combination: (Please specify lock type)

Work Requested:

Press the "Submit" button to send the work order.

(By pressing the "Submit" button I hereby authorize the above repair work to be done along with the required materials. You and your employees may operate the unit herein described on any waterways or elsewhere for purposes of testing, inspection, or delivery at my risk. An express mechanic's lien is acknowledged on the above unit to secure the amount of repairs thereto. It is also understood that you will not be held responsible for loss or damage to the unit (or articles left in or with the unit) in case of fire, theft, accident, inclement weather conditions or any other cause beyond your control.)

Press the "Reset" button to clear the fields and start over.

The Sailing Emporium

21144 Green Lane, P. O. Box 597
Rock Hall, MD 21661
tel: 410-778-1342 / fax: 410-778-3264
e-mail: sailemp@dmv.com

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"The Cat's Paw"

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& Reservations

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