Shilshole Bay Yacht Club

Moorage Reimbursement Form

for Reciprocal Clubs

 

Reciprocal Member Information

 

Reciprocal Yacht Club: _________________________________________________________________________

Member First and Last Name: ___________________________________________________________________

Mailing Address: _____________________________________________________________________________

City: ____________________________State / Providence: __________________Zip Code: _________________

Contact Phone: ______________________

 

Vessel Information

 

Name of Vessel: ______________________________________   Length ________    Sail _____     Power ______

Model: ______________________________________________   Registration # __________________________

 

Visit Information

 

Date Of Visit: _________________________             Amount paid excluding electrical charges: $______________

 

LIMITATIONS

Reciprocal moorage is at the Shilshole Bay Marina guest dock and is limited to one night’s stay, per boat, per calendar year. Electricity will be charged at the going rate.

A copy of the marina receipt and proof of current reciprocal club membership must be included.

Thank you

As a member in good standing with a current participating yacht club I agree to the above reciprocal moorage rules and request reimbursement from Shilshole Bay Yacht Club.

 

 

Member Signature__________________________________________ Date Signed _____________________

 

Mail completed form, copy of receipt and proof of current membership to: Shilshole Bay Yacht Club 2442 NW Market Street # 98 Seattle, WA  98107

FOR SBYC USE ONLY   Date request received: _______________________   Accepted _________   Rejected ___________ If rejected, date rejection notice sent and reason   Payment Sent   Date: _________________              Amount: $_____________