Returning Patient Agreement Please enable JavaScript in your browser to complete this form.Are you ready to winterize? *Please SelectYesNoMy boat is already winterizedWinterize my boat after this date: *Would you like us to leave your battery charger on? (recommended) *YesNoAdditional Systems to WinterizeAdditional Services Al a carte We Recommend This Time of Year*Engine Oil ChangeGenerator Oil ChangeService Outdrives*Advised to do at winterization and required at 100 hrs or annuallyName *FirstLastEmail *Email Invoices? *YesNoPhone to reach you *Text cell? *YesNoAny changes to the following? *No ChangesBilling AddressBoat InfoCredit card on fileChange Billing Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeChange Boat Info *Phone number to change credit card info *For your privacy, we will call you to change the card informationWhat would you like our doctors to repair? *TermsElectronic Signature *By signing this agreement, I hereby authorize the above work to be done along with the necessary materials and hereby grant you and/or you employees permission to operate the vessel herein described on the waterways or elsewhere for the purpose of testing and/or inspection. I also accept financial responsibility and am willing to pay all The Boat Docs, Inc. invoices in accordance with the terms described therein. I agree to pay in full when the work is completed. I also understand that this is the policy of The Boat Docs, Inc. to charge my credit card if I am unavailable to pay by cash or check and payment is not made within 10 days. An express mechanic's lien is acknowledged on the above vessel to secure the amount of the repairs thereto. I understand that a service charge of one and a half percent per month (prorated from the due date) will be added to any delinquent accounts. Storage will begin on any trailer or boat not picked up within 10 days after notification of completion of service. If it is necessary that collection be made by suit or otherwise. I agree to pay interest until paid, along with collection costs, including a reasonable attorney fee. The Boat Docs, Inc. is NOT responsible for loss or damage to boats, motor vehicles, trailers or articles left therein in case of fire, theft, accident, freezing or any other causes beyond our control when in our custody for repair or storage. The Boat Docs, Inc. is NOT responsible for data sent by unsecured email. Please be advised and we only recommend protecting secure data such as your credit card number. For your protection, repair work will NOT begin until this signed agreement is received in our office. Our website includes a printable pdf of this contract for patients that prefer to mail this agreement. Our address is The Boat Docs PO Box 3652 Camdenton MO 65020-3652Terms *I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.WebsiteSubmit –>