ALLENPORT MARINA 2020 JET SKI DOCK RENTAL AGREEMENT

CUSTOMER INFORMATION: NAME: _________________________________________________

ADDRESS: _______________________________________________

CITY: _________________________________________ STATE: ________ ZIP____________

Cell Phone: ____________ Email: __________________ Emergency Contact Phone: ______________

PLEASE LIST NAMES OF CO-OWNERS OR FAMILY MEMBERS:

NAME: ______________________________________ RELATIONSHIP: __________________________

NAME: ______________________________________ RELATIONSHIP: __________________________

JET SKI INFORMATION: YEAR: ___________________ MAKE: ____________________ MODEL: ___________________________

PA REGISTRATION #: ______________

INSURANCE INFORMATION: AGENT NAME: _________________________________ AGENT PHONE: __________________________

CARRIER: _________________________________________ POLICY NUMBER: _____________________

EFFECIVE DATE: ___________________________ EXPIRATION DATE: _____________________________

Please return this completed application with your payment to ALLENPORT MARINA, P.O. BOX

15, ALLENPORT, PA 15432. FOR QUESTIONS, PLEASE CALL US AT 724-326-4200, OR EMAIL US

AT ALLENPORTMARINA@YAHOO.COM

JET SKI DOCK RENTAL

$375.00 IF PAID IN FULL BY 2/15/2020, $400.00 IF PAID IN FULL BY 3/15/2020, AND $425.00 IF PAID

AFTER 3/15/2020

Tenant(s) certify that the printed matter on the two pages of this agreement has been read, and the terms and conditions

set forth herein are fully understood. Tenant(s) further certify that they have examined the space in which the subject

boat is to be placed and find it suitable and acceptable. Tenant(s) further acknowledge and hereby agree that the terms

on the second page of this agreement, including the releases and wavers in paragraphs 6, 16, and 17 are a material part of

this BOAT SPACE RENTAL AGREEMENT and are incorporated herein to the BOAT SPACE RENTAL AGREEMENT as fully as

though they were set forth at length on the first page of this agreement and for the purposes hereof the terms

“LANDLORD” and “LESSOR” are interchangeable and the terms “tenant” and “lessee” are interchangeable. Tenant(s)

understand that a dock space will be reserved only if a NON-REFUNDABLE DEPOSIT OF $250.00 OF THE DOCKAGE FEE HAS

BEEN MADE BY February 15th. I (WE) SIGNATURE(S) ON THIS APPLICATION VERIFIES THAT I (WE) INTENT TO BE LEGALLY

BOUND AND EXECUTE THIS AGREEMENT THIS DAY_________ MONTH_______________ YEAR____________________.

SIGNATURE OF JET SKI OWNER/OWNERS: ________________________________________________