BEB - 2014 Haulout Form

Haul Out Request Form - 2014
REQUESTED HAULOUT DATE: _______________________
1-37 Champlain Rd Penetanguishene, ON
L9M 1S1
P: (705) 549 2075 F: 705 549 2032
Email: [email protected]
CONFIRMED HAULOUT DATE:_______________________
Customer & Vessel Information
Name:
E-mail:
Slip #:
Key Location: ______________________________
Best Contact #:
Vessel Name:
Make:
Will you be in Cold or Heated Indoor Storage?______________________
Will you be present for haul out?
YES NO
Preferred Method of
Do you require a pumpout?
YES NO
Payment Upon
Do you require a head shock treatment?
YES NO
Completion
Do you require fuel?
YES NO
Do you require fuel stabilizer?
YES NO
Do you require a bottom Acid Wash? ($3.75/ft if not antifouled)
Cash
Chq Credit Card
MC, Visa or Amex #
__________________________
__
Exp:____________ VIN_______
YES
NO
Engine Oil Change
Parts Sold Seperately
Per Unit
#
Please Circle
BBOIL3
Gas or Small Diesel (Yanmar or generator)
Mid-Size Diesel (Perkins, Lehman, Westerbeke)
Detroit, Caterpillar, Cummins 6/8/12 cylinders - Large Diesels
$110.00
$198.00
$264.00
YES
YES
YES
NO
NO
NO
BBOIL5
Gas Generator
$95.00
YES
NO
BBOIL6
Outboard 4 Stroke
Oil Sampling (Diesel)
$95.00
$95.00
YES
YES
NO
NO
BBOIL1
BBOIL2
BBOIL7
Transmission Oil Change
Parts Sold Seperately
BBTRAN1
BBTRAN2
Gas or Small Diesel
Mid or Large Diesel
Per Unit
#
$105.00
$135.00
Please Circle
YES
YES
NO
NO
Engine Winterization
Parts Sold Seperately
BBWINT1
BBWINT2
BBWINT3
BBWINT4
BBWINT5
Gas or Diesel
Generator
Outboard Up to 40 HP - drain carb, change gear lube & fog engine
Outboard Over 40 HP - drain carb, change gear lube & fog engine
SeaDoo/Jet Boat (per engine)
Drain engine closed cooling & refill with fresh glycol antifreeze (Boat must be in water)
BBWINT7
BBWINT8
BBWINT9
Small Gas or Diesel
Large Diesel
Closed Cooling pH Test
Per Unit
#
$160.00
$130.00
$95.00
$120.00
$135.00
Per Unit
Please Circle
YES
YES
YES
YES
YES
#
$120.00
$275.00
$25.00
NO
NO
NO
NO
NO
Please Circle
YES
YES
YES
NO
NO
NO
Fresh Water System - Includes all components (sink, showers, fresh water pump, hot water tank & shower water hook-up)
Parts Sold Seperately
BBFWW1
BBFWW2
BBFWW3
BBFWW4
BBFWW5
BBFWW6
BBFWW7
BBFWW8
BBFWW9
BBFWW0
Water System 0-24'
Water System 25' - 35'
Water System over 36'
Washdown Pump
Air Conditioners (each A/C Unit)
Ice Maker
Bilge/Shower Pump
Clothes Washer
Dish Washer
Head & Tank
Per Unit
#
$120.00
$130.00
$240.00
$65.00
$65.00
$65.00
$30.00
$65.00
$65.00
$30.00
Please Circle
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
NO
NO
NO
NO
NO
NO
NO
NO
NO
NO
Stern Drive
Parts Sold Seperately
BBDRI2
Winterize Stern Drive - Volvo Dual Prop - Includes changing gear oil
Winterize Stern Drive - Includes changing gear oil
Winterize Stern Drive, Remove & Store - Includes changing oil pressure & vacuum test
BBDRI3
All Other Drives
BBDRI0
BBDRI1
Mercury Alpha Drives
Per Unit
#
Please Circle
$140.00
$110.00
YES
YES
NO
NO
$295.00
YES
NO
$320.00
YES
NO
Maintain Ships Batteries
Per Unit
BBBATT
Maintain Ships Batteries - Includes charging batteries monthly & Topping up Fluid
$550.00
#
Please Circle
YES
NO
Continued on Back …
Prepare Vessel for Heated Storage - Thoroughly flush and shock heads and holding tanks. Empty water system and water tank and
add purogene. Clean and deodorize all shower sumps and drain all strainers. Service all batteries (clean & fill), charge and disconnect for
winter. Vacuum all standing water in bilges and add fuel stabilizer. Inspection of systems bow to stern.
Per Unit
BBHEAT1
BBHEAT2
BBHEAT3
20' - 30' Vessel
31' - 40' Vessel
41' + Vessel
#
Please Circle
$200.00
$300.00
$500.00
YES
YES
YES
NO
NO
NO
Shrinkwrap - Price includes shrinkwrap, wood frame, canvas removal & storage, spring removal & recycling of shrinkwrap and
reinstallation of canvas.
Per Foot
BBSW1
BBSW2
BBSW3
BBSW4
BBSW5
BBSW6
BBSW7
0 - 20'
21' - 25'
26' - 30'
31' - 35'
36' - 40'
41' +
Access Door
$25.00
$27.00
$29.00
$31.50
$33.75
$35.75
$85.00
#
Please Circle
YES
YES
YES
YES
YES
YES
YES
All prices listed are for labour only -unless otherwise noted
*Labour and materials included
Additional Comments:
Customer Signature:
Date:
Don’t be left out in the cold this winter!!
Contact the office for pricing on Heated or Cold Inside Storage.
Spaces are Limited!!
Revised Sept 1st, 2014
NO
NO
NO
NO
NO
NO
NO

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