Owner's Name _________________________________ Unit # ___________

Boat Registration # ________________ Make/Model ___________________

Color of boat__________________________________________

Contact Phone Numbers: _________________________________________

Week-Long Request

Dates Requested (Sunday through Saturday)
_____________ to _____________ _____________ to _____________
_____________ to _____________ _____________ to _____________
_____________ to _____________ _____________ to _____________

# of Weeks Boats: _____ @ $150/Week Total Cost: $__________

# of Weeks PWC: _____ @ $ 60/Week Total Cost: $ __________

Weekend Request (5:00 p.m. Friday through Sunday 5:00 P.M.)

Dates Requested: ________________________________________________

# of Weekends Boats: _____ @ $60/Weekend Total Cost: $________

# of Weekends PWC: _____ @ $20/Weekend Total Cost: $________

Additional or Individual Days Request

Dates Requested: ________________________________________________

Total Days Boats: _____ @ $30/Day Total Cost: $________

Total Days PWC: _____ @ $10/Day Total Cost: $________

Grand Total Enclosed: $ _______________ Check #_________


Note: Full payment must accompany request. Checks should be made out to Villages of Wisp Association and should be mailed to P.O. Box 987, McHenry, MD 21541. If your request cannot be met, your payment will be promptly returned or refunded.

If you should have any questions, please contact SBS, Inc.at 301-387-5241 or send an e-mail to: scrollbiz@comcast.net