Name and Address Block
Email

 

 

 

 

 

 

 

To request service, please fill out and submit the following information.

If you have filled out this form previously for hull cleaning service and require different service just fill in the name of your boat, your harbor mooring, and select the type of service you require and a note in the special request box.

If it is an emergency, don’t hesitate to call: 773-203-4509 ask for Dave Gramenz

 
Name
Address
City/State/Zip / /
Home Phone
Business Phone
Cell Phone
Alt Cell Phone
Fax
E-Mail
Type of Boat(s) Sail   Power Launch/Tender Jet Ski
Boat Name
Size
Harbor
Mooring

Type of Service Requested
Hull Cleaning
   Indicate the number of cleanings per season

 

Other Services and Repair
(specify details in comments below)

 

Water Line Clean Sail Boat Keel Repair
Launch Clean Zinc Replacement
Jet Ski Clean Port Clearing
Search / Recovery Prop Repair
U/W Video Trim Tab Repair
U/W Inspection Rudder Repair
U/W Surveying Shaft Repair
Topside Cleaning Captain Service
Cabin Cleaning Transport Service
Concierge Services Winter Services
Mechanical Work
(specify details in comments below)
Engine Electrical (lights)
Coolant Electronics
Oil change Plumbing
Fuel Filter
Hydraulic
Engine Electrical
Battery(s)

 

Boat Repairs
(specify details in comments below)
Fiberglass Gel Coat Repair
Bottom Paint  

 

Heating/Air Conditioning
(specify details in comments below)
Heating Refrigeration
Air Conditioning

 

Lee's Aerial photo Service
Request for photo aerial photo service (also use special request box to give details)  
 

 

Special Requests
or Comments


    

 

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