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Service Authorization Form
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Authorization
Service Authorization Form
Name
*
Email Address
*
Phone Number (type in numbers only)
*
Detailed description of services needed
*
Home Address
*
Location of vessel/trailer to be worked on
*
Vessel/Trailer Make, Model, and Size
*
Date you would like service to begin
*
Authorize
*
By checking this box, I authorize Wilmington Boat Services to start performing the outlined tasks on or after the date above on the described vessel/trailer.
If you are human, leave this field blank.
