Company Information
Company Name
(*Required)
How soon will you be buying?
> 30 days
> 6 months
3 months > 6 months
30 > 90 days
Contact
*
Software
you
are currently using
None
MarinaWare
AMS
ARK
Computer Consultant
Forbes
IDS
Mainframe
SafeHarbor
Other
Address 1
*
Type of business
Private
Corporate
Government
Address 2
Network/OS
you
are running
Windows 95/98
Windows
Windows 2000/NT
Linux
MacOS
City
*
Number of workstations
1
2
3
4
5
6
7
8
9
10
>10
State
*
Is there a ship store?
No
Yes
Zip
*
# of wet slips
0-50
51-100
101-150
151-200
201-300
301-400
401-500
501-750
751-1000
1001-1500
1501-2000
Over 2000
None
Phone 1
*
# of dry slips
0-50
51-100
101-150
151-200
201-300
301-400
401-500
501-750
751-1000
1001-1500
1501-2000
Over 2000
None
Phone 2
Fax
E-mail
*
Additional Information
(optional)
Launch
Phones
Dry Storage
Water
Covered Slips
Cable TV
Open Slips
Gasoline
General Store
Diesel
Restaurant
Pumpout
Campground
Hot Showers
Repairs
Laundry
Boat Rental
Power: 120v
PWC Rental
Power: 220v
Houseboat Rental
Power: Three-Phase
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