Form Test – Tres Martin Performance Boat School

21 day notice required for changes, rescheduling fee $1,000.00

Travel expenses not included in any pricing

X-tra water time $250.00 per hour

Course Selection*
Preferred Date*
MM slash DD slash YYYY
Preferred Location*
Name*
First Last
Email*
Age*
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mobile Phone*
Home Phone
Boat Make*
Boat Length*
Hull Type*
Year*
Horsepower*
Number of Engines*
Driver*
Years of Boating Experience*
Currently Insured?*
Name of Insurance Provider*
Is This an Insurance Provider Requirement?*
How did you hear about us? (Website/Friend/Insurance Co/Internet/Article/Other Media):*
Referrals:
Please provide name and contact information, we would like to thank them.
By submitting this form, you authorize TRES MARTIN’S PERFORMANCE BOAT SCHOOL to charge my credit card for the DEPOSIT amount of $1,000.00 per persons. I understand this deposit is NON-REFUNDABLE. Credit Cards shall be used for TUITION AND ALL TRAVEL EXPENSES for the instructors. *The billing address you provide must match the credit card billed* Make Checks Payable to: TRES MARTIN’S PERFORMANCE BOAT SCHOOL We accept VISA/MC/AMEX *** 3% SERVICE FEE ON CREDIT CARD TRANSACTIONS***
Name as it Appears on Your Card*
Credit Card Number*
Credit Card Expiration Date*
CVV*
Please Check One*
- I authorize the remaining balance to be charged to the same card no earlier than 21 days prior to my scheduled class.
- I will be paying the remaining balance by cash, check or money order.