PEYC Mast Crane and Storage Registration Please complete the form below and submit payment to the Club Mast Crane and Storage Registration Owner * First Name, Last Name Tag # (Membership #) * Mobile Phone * Email * Membership Classification * Full Social Vessel Name * Company Insurance Broker / Agent * Policy # * Liability Amount * Expiry Date mm/dd/yyyy Is your insurance information complete and on file with PEYC? * Yes No NOTE: YOUR BOAT MUST HAVE A MINIMUM OF 1 MILLION DOLLARS LIABILITY INSURANCE. Please provide a copy of your Insurance Declaration Page with this Application if required. *PAYMENT MUST BE RECEIVED BY OCTOBER 31st FULL MEMBER / BOAT STORED IN YARD INCLUDED $0.00 FULL MEMBER / BOAT NOT IN YARD Mast Crane (INCLUDED) $0.00 Mast Storage ($45.94 + HST) $51.91 Total Charge SOCIAL MEMBER Mast Crane: ($63.00 + HST) $71.19 Mast Storage: ($57.33 + HST) $64.78 Total Charge (Add Services Used) reCAPTCHA If you are human, leave this field blank. Submit Δ
