*Hourly rate: $135.00.  A deposit is required on all materials and special orders. 

**Authorization: By clicking on I HERBY AUTHORIZE service box below you are HERBY AUTHORIZE as set forth above and agree to pay for parts, labor and other charges.
By clicking on I HERBY AUTHORIZE you understand that payment is due upon completion of the work and before you pick up the vessel.

You also understand and agree that you will owe 15% per annum interest on any unpaid balance.

By clicking on I HERBY AUTHORIZE you understand and agree to pay the attorney’s fees on any unpaid balance and interest.

You hereby grant a lien on the vessel to secure the payment of all charges, interest and attorney’s fees.

***Please note: If the invoice for the work requested by this Authorization is not paid within 30 days of the invoice date, the credit card listed here WILL be charged the amount due!

* denotes required field

Date:

Owner or Contact Person:*

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Street Address:*

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City:*

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State:*

State: AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY You must select an option for 'State:'.

Email:

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Phone

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Boat Model:*

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Boat Name:*

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Boat Location:*

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Key Location or Combo*

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Slip Number:*

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Engine Information:

Engine:

Port:

Engine Hours:

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STBD:

Engine Model:

Port:

STBD:

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STBD:

Transmission Informaion:

Transmission:

Port:

Transmission Model:

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STBD:

Transmission Serial Number:

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Generator:

Generator Hours:

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Generator Serial Number:

Generator SPEC:

Job Outline or Notes:

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99999 characters remaining

Credit Card Information:

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Name on Card:*

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Card Number:*

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Card Expiration: MM/YY*

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Card Security Code:*

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Authorization:_I HERBY AUTHORIZE(**See Note at the top of this page before clicking the box).*

You must select an option for 'Authorization:_I HERBY AUTHORIZE(**See Note at the top of this page before clicking the box).'.

YES - I do Authorize

NO - I do Not Authorize

You must select an option for '****I AKNOWLEDGE THAT THE LABOR RATE HAS CHANGED TO $135.00 AN HOUR NOT THE $125.00 posted on the web page.'.
****I AKNOWLEDGE THAT THE LABOR RATE HAS CHANGED TO $135.00 AN HOUR NOT THE $125.00 posted on the web page.*

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