MONMOUTH BOAT CLUB
2015 Facilities Request Form
Page F1
PLEASE COMPLETE ALL INFORMATION FOR NEW REQUESTS
Forms missing information or with incorrect payments will not be processed.
Mail to:
Financial Secretary
Monmouth Boat Club
PO Box 777
Red Bank, NJ 07701
This form is used by MBC Members for:
-The yearly facility renewal with change requests
(accompanied with the Annual Dues Renewal Form)
-Requests for new assignments during mid-season
Contacts: (Supervisors who manage the facilities)
 Lockers:
 Grounds, Trailer Space, Boat Rack, Row Shell Rack:
 Dinghy Floats, Wet Slips:
 Moorings:
Terry Murch - 732-708-9269 - [email protected]
Bob Markoff - 732-741-4275 - [email protected]
Randy Dickerson - 732-291-1991 - [email protected]
Talbot Pratt - 978-801-1602 - [email protected]
Instructions to Complete Form
Boat Identification
1.
Class/Hull Type - e.g. Wood Pussy, Flying Scot, Lightning etc.
2.
Length
3.
Power or Sail - If Power -- are gas tanks built in or removable/portable, type engine
4.
HIN/Sail No. - HIN and/or Sail Number
5.
NJ License No: License Number on Boat
6.
Boat Name & Color:- e.g. “Wild Thing” - Black - or “no name” - beige w red stripe -- etc.
7.
Trailer Make & NJ License No (Tag Number)
Additional Info for Moored Boats:
8.
Draft
9.
Mushroom Weight lbs, MLW
Renewal or New Request:
Insure to mark whether a facilities request is new or a renewal. Fill in and total the applicable fees.
1) If you are using this form with your yearly Annual Dues (typically renewals), then add this form's total to the Annual
Dues Renewal Form, and follow the instruction on the Annual Dues Renewal Form. Memberships that have not
paid dues and assessments by March 1st will forfeit all priorities for renewal of facilities assignments.
2) If you are using this form for a new request in mid-season, then make a check for the total amount payable to
Monmouth Boat Club. Mail this form with payment to the Financial Secretary's address listed on top left of this form.
Terms and Conditions
Wait Lists: New requests - Contact the facility supervisor before submitting your request to determine availability. New
requests for facilities will be assigned as they become available to persons in first order who have submitted a properly
completed facility request form with payment. If the facility is not available your payment is held as a wait-list deposit. This
deposit is applied as payment for your requested facility in the year in which the facility is available and assigned. Requests
are not accepted with incomplete information or lack of payment in full. If you want a refund of a facility wait-list deposit, then
contact the facility supervisor to remove your name from the wait-list and submit a request to the Financial Secretary for a
refund.
Dates: Assigned summer yard and dock facilities are reserved starting from the day after the April floats-in, ending the day
before October floats-out. All boats must be removed from the east side of the yard prior to floats-out and floats-in work
parties. All boats must be off the Ice Boat property (west side) by November 1. Assigned lockers are reserved from the day
after the April floats-in to November 30. Temporary floats with snap shackles must replace your mooring ball before mooringsout and be available for moorings-in. Supervisors will issue fines if MBC work parties must handle your boat or mooring
responsibilities or if you have not paid for winter storage and your boat is in the yard after November 15th.
Disclaimer: MONMOUTH BOAT CLUB ASSUMES NO RESPONSIBILITY FOR ANY BOATS OR EQUIPMENT STORED OR LEFT ON
CLUB PROPERTY AND MAINTAINS NO INSURANCE COVERAGE ON MEMBER'S PERSONAL PROPERTY.
I have read these instructions and conditions and agree to be bound by these terms.
MEMBER SIGNATURE: _________________________________________
FR Form Revised 1/14/2015.
Page F1 of 2
DATE______________
MONMOUTH BOAT CLUB - 2015 FACILITIES REQUEST FORM
page F2 of 2
Member Name: ____________________________________________ Phone: _______________________
Email: ___________________________________________________________________________________
NJ State Sales Tax is included in the fees on this form. Please pay the amount stated on this form.
Boat Trailer Space (Up to 14 ft. @ $329 14+ to 17 ft. @ $398 17+ to 20 ft. @ $455)
Enter Cost
Trailer Space 1
Boat Length (ft.):
Trailer Make:
[_] -Renewal No:
[_] -New Request
Class/Hull Type:
HIN/Sail No:
License No:
Boat Name & Color:
Trailer License No:
[_]-Sail or [_]-Power - Motor Type:
Built-in Gas Tank? [_]-Y or [_]-N
Class/Hull Type(s) :
Trailer Space 2 & 3
Boat Length(s) (ft.):
[_] -Renewal No(s):
Trailer Make(s):
[_] -New Request
HIN/Sail No(s):
License No(s):
Boat Name(s) & Color:
Trailer License No(s):
[_]-Sail or [_]-Power - Motor Type:
Built-in Gas Tank? [_]-Y or [_]-N
Kayak / Dinghy Rack 1 ($157
per boat)
[_] -Renewal No:
[_] -New Request
Boat Name & Color:
Class/Hull Type:
HIN/Sail No:
Kayak / Dinghy Rack 2 ($157
per boat)
[_] -Renewal No:
[_] -New Request
Boat Name & Color:
Class/Hull Type:
HIN/Sail No:
Row Shell Rack ($160/boat)
[_] -Renewal No:
[_] -New Space Request
Dinghy Float Space $167/boat
[_] -Renewal No:
[_]- New Space Request
[_] -WET (X for Wet Slip)
Wet Slip ($822 per boat)
Boat Name & Color:
HIN No:
Hull Type:
River Mooring ($493 per boat)
Class/Hull Type:
Boat Name & Color:
[_] -Renewal No:
Length:
-
Draft (ft.):
Mushroom Weight:
HIN/Sail No:
Lockers($205 Lg - $136 Small)
[_]- New Request
lbs., MLW:
NJ License No:
[_] -Renewal No:
[_] -New Request [_] - Upgrade
FACILITY TOTAL (FOR ANNUAL RENEWAL, TRANSFER TOTAL TO PAGE A1 OF THE ANNUAL DUES RENEWAL
FORM, FOR MID-SEASON NEW REQUESTS, TOTAL AND SEND THIS FORM TO THE FINANCIAL SECRETARY)