HAUL OUT/WINTERIZATION REQUEST FORM 

Customer_________________________________________   Phone No.______________

Address__________________________________________     Cell No.__________________

City_______________________       State__________              Zip Code_________________

Manufacturer___________________            Length _______                Slip Number_________

Trailer Make__________________   License Plate Number_____________________

Winter Storage at Fox Chapel        Yes           No

Store on Trailer                              Yes           No                  Store on Stands                 Yes       No

Do you own your stands?               Yes           No                  If Yes, How Many?__________

If hauling out yourself, please check box and return. Notify Service when boat is out of water.

Haul out                                                                           Yes      No

           Engine Winterization                                                        Yes        No

Please circle all applicable areas for engines in your boat:

Single       Twin       4 cylinder       6 cylinder       8 cylinder    Diesel

Pump out Holding Tank                                                                Yes        No

Holding Tank Chemical                                                                 Yes        No

Fill Fuel Tank (all tanks must be 3/4 full)                                      Mandatory

Gas Stabilizer                                                                                  Yes        No

Bottom Clean                                                                                  Yes        No

Oil Change          Conventional Oil                                                 Yes        No

Oil Change          Synthetic Blend Oil                                             Yes        No

Gas Generator Oil & Filter Change                                                 Yes        No

Diesel Engine Oil Change                                                               Yes        No

Diesel Generator Oil & Filter Change                                             Yes        No

Change Lower Lube                                                                        Yes        No

Outdrive Winterization Package                                                      Yes        No

Winterize Water System (cold only)                                                 Yes        No

Winterize Water System (hot & cold)                                              Yes        No

Winterize Air Conditioning                                                              Yes        No Qty.:___________

Winterize Generator                                                                         Yes        No

Winterize Ice Maker                                                                        Yes        No Qty.:___________

Winterize Head                                                                                Yes        No Qty.:___________

Check Fresh Water Cooling System                                                 Yes        No

Shrink Wrap                                                                                     Yes        No

Shrink Wrap Door                                                                            Yes        No

Additional Work Request not listed above:___________________________________________

______________________________________________________________________________

Preferred Haul Out Week of:________________Alternative Week of:_________________

Preferred Launch Week Spring 2011: ___________________

 Return by September 20^th, 2010 via fax or delivery   Fax 412.967.1627

If you have questions, please address them with Pat or Roger prior to scheduled date.

Signature_______________________________                   Date_____________________

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PERSONAL WATERCRAFTS (NO BOATS)