SEASONAL LAUNCH APPLICATION 2017
(Please Print and fill in this Form and Mail it along with your Payment To:
Mitchell's Bay Marine Park Limited
3 Allen Road,
Mitchell's Bay, Ontario
N0P 1L0

Name:              _________________________________________________ Phone _________________________________________________ Alternate Phone (cell) ______________________________________ Address _________________________         _______________________ City        _________________________________________________ Province/State   ___________________________________________ Postal/Zip Code __________________________________________ Email Address ____________________________________________ Vehicle Plate Number ______________________________________  Make /Model _____________________________________________       Second Vehicle Plate Number _______________________________ Make /Model______________________________________________ Boat Trailer License Plate Number ____________________________  Boat Make or Name ________________________________________ Boat Registration # _________________________________________ Price $ 280.00 Plus Taxes / Additional Boat, Same Owner, Add $75.00

This pass is only for the boat and trailer listed above that is registered to you. 
Management reserves the right to rescind your pass if violation of this rule occurs.

I have read the rules and agree to abide by them  

Signature_____________________

Cash Cheque US Visa MC

All cheques payable to Mitchell's Bay Marine Park Limited

Mitchell's Bay Marine Park Limited 3 Allen Road, Mitchell's Bay, Ontario N0P 1L0 Tel: (519) 354-8423 Fax: (519) 354-3289

Payment In Full Upon Booking. More Information on Mitchell's