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Palapa Marina - St. Maarten
Palapa Marina Reservation Form
Please provide your information to reserve your berth at Palapa Marina
www.palapamarina.com
DOCKAGE RESERVATION
Name of Vessel
*
Registration #
Lenght (ft)
*
Beam (ft)
*
Draft (ft)
*
Yacht Type
*
Sail
Motor
Catamaran
Electricity Requirements
*
110v / 60htz
220v / 60htz
380v / 60htz
440v / 60htz
Amperage Requirements
*
50 amp
100 amp
200 amp
Arrival Date
*
+
Departure Date
*
+
YACHT CREW INFORMATIONS
Captain Name
*
Captain Phone / Whatsapp
*
Captain Email Address
*
First Mate
Chef
Chief Steward/ess
Engineer
Head Office Contact info
*
Head Office Phone
*
Head Office Email
*
Available Services
Please select the additional services that you would like to receive while at Palapa Marina
*
Clearing In & Out
Provisioning
Wire Transfer / APA Funds
Fuel - Duty Free
Oil Products
Waste Oil Removal
Sludge Removal
Day Workers
Laundry / Dry Cleaning
Concierge Service
Shipping & Handling
Car Rental
VIP Taxi Services
Flowers
Carpet Cleaning
Shipwright
Airconditioning Repair
Other
CREDIT CARD INFORMATION
Name on Card
*
Credit Card Type
*
Visa
MasterCard
American Express
Credit Card Number
*
Expiration Date (mm/yy)
*
Signature
*
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