2024/2025 MOBILE SERVICE OR MOBILE WINTERIZATION REQUEST FORM

IMPORTANT: Please read & complete all sections of this form carefully, this is your work order.

The Town of Lake Lure will begin drawing the lake down on January 1st, 2024 to support several infrastructure projects.

First Name *

Last Name *

Phone Number *

Email Address *

Boat House Address - *

Boat Key Location: PLEASE BE SPECIFIC - KEY MUST BE ON BOARD BEFORE THE DATE OF REQUEST. If your boat is in a boathouse, be sure we have the codes/keys needed to access the boathouse or leave it unlocked. *

Boat Color/Manufacturer *

Engine Year, Make, Model/Serial Number

TARGET DATE

Target Date: NOTE - this is a target date to assist LLM in scheduling. The chosen date does NOT guarantee your boat will be Winterized on this day. We run winterizing calls once a week....Please be considerate when requesting a date. If you are not using the boat please pick the EARLIEST we can winterize. All mobile winterization calls must be completed before November 1st if you want antifreeze used as our work boat will be hauled out before the draw down. Late requests will have engine plugs pulled. * +

AVAILABLE SERVICES: All Prices are approximate, plus tax, and subject to change. A Pricing breakdown will be provided on the next page before confirming your request.

Mobile Winterization - The estimate includes the service call (prices available on the next page before confirming your request.)

Diagnose Failure or Problem - all boat systems

Diagnostics (billed per hour)

Please Summarize Symptoms for Diagnostics/Repair

Name on Card

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)

CVC code

Billing Zip Code

Please sign your work order request. Once submitted we will receive an email with your request & add it to the schedule. TERMS: I hereby authorize the above work to be completed along with needed parts/materials. Lake Lure Marine (LLM) & Employees may operate boat/engine for purposes of testing, inspection, and/or pickup or delivery at my risk. LLM will not be held liable or responsible for loss or damage to boat/engine due to fire, theft, accident or any other cause beyond our control. Invoices must be paid in full. Late fees will be incurred for all overdue invoices, charged to the card on file and include a 3.5% processing fee based on the invoice total. Owners must keep insurance on all boats/trailers in storage. Please be sure personal belongings (tubes etc) are not in the way of accessing the boat. Thank you *

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Please check the box below to submit request, approximate pricing to be provided on the next page before finalizing your request. *

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