Pine Mountain Lake 2021 Boat Registration Form

Name*

First

Last

Address to ship PML Registration Stickers (or Pickup):*

Phone*

Unit

Lot

Date

Email*

CF# 1 (if applicable)

CF# 2 (if applicable)

CF# 3 (if applicable)

Boat Information :

Registration Fees Boat # 1:

Registration Fees Boat # 2:

Registration Fees Boat # 3:

# 1 Make:

# 2 Make:

# 3 Make:

#1 Length:

#2 Length:

#3 Length:

#1 Color:

#2 Color:

#3 Color:

#1 Motor Description

#2 Motor Description:

#3 Motor Description:

#1 Current Sticker # State of California:

#2 Current Sticker # State of California:

#3 Current Sticker # State of California:

#1 Slip/Rack/Beach/Home #:

#2 Slip/Rack/Beach/Home #:

#3 Slip/Rack/Beach/Home #:

Insurance:

Upload copy of Insurance. If your are unable to upload your documents, then you may email them to (marina@pinemountainlake.com)

DMV Boat Registration:

Upload a Registration. If your are unable to upload your documents, then you may email them to (marina@pinemountainlake.com)

Property Owner Agreement:

E-Signature:

First

Last

Date Signed:

Send a copy of this message to yourself

Total (Remember this total for your Payment)