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.