SEASONAL LAUNCH APPLICATION 2019
(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 # _________________________________________

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