Name
Phone
Email
Address
City
State
Zip
De-Winterization After Date
Boat Make and Model
Location (Dock Name and Slip Number)
Gate Code
Key Location
Engine(s): How many to be de-winterized?
Water System yesno
A/C-Heat System yesno
Hot Water Tank yesno
Ice Maker yesno
Generator yesno
Holding Tank(s) yesno
Ballast Pumps and Bags yesno
Oil Change yesno
Lower Unit Service yesno
Water Pump Impeller(s) yesno
Keys must be available at time of services. If no keys are available when service is attempted an additional charge of $99 will be applied.
No service performed without completed de-winterization form.
Engine and generator de-winterization charges are $159 per engine and/or generator for boats less than 20 years old. Boats greater than 20 years charged at $250 per engine and/or generator.
Water systems, A/C, head systems, hot water tanks, ice makers, holding tank(s), ballast pumps and bags de-winterization charges are $150 per hour for boats 20 years and less in age. Hourly charges are $250 per hour for boats greater than 20 years old.
Oil change(s) are $150 per engine or generator plus required amount of oil plus filter.
All De-Winterizations subject to a “start/run/check” fee of $75. (One charge only per boat) Engines started, brought to operating temp, and examined to be functioning properly.
Lower Unit Service $318 per unit plus required amount of gear lube.
Water Pump Impellers Replacement are $349 each.
*Note: Lower Unit Service Requires Haul Out. Fee is $125.
DE-WINTERIZATION SERVICES ARE PERFORMED ON A FIRST COME-FIRST SERVED BASIS.
Card #
Expiration Date
CVV
Authorized Signature
BY SUBMITTING BELOW I HEREBY AUTHORIZE NICHOLS MARINE TO PERFORM THE WORK STATED AND I HEREBY ACCEPT THE TERMS DESCRIBED. AUTHORIZATION IS ALSO MADE TO PROCESS THE CREDIT CARD STATED ABOVE, OR ONE CURRENTLY ON FILE AT NICHOLS MARINE, FOR THE WORK PERFORMED.
NOTICE: DE-WINTERIZATIONS ARE ONLY DONE ON OR AFTER DATE REQUESTED BY CUSTOMER. FREEZES AFTER DE-WINTERIZATION ARE NOT THE RESPONSIBILITY OF NICHOLS MARINE. ANY AND ALL DAMAGE REPAIR IS THE SOLE RESPONSIBILITY OF THE CUSTOMER
Completion Date
