Captain’s Name:
Address:
H Phone:
W Phone:
C Phone:
Boat Make:
Boat Name:
Length:
VHF Radio:
Yes
No
Crew Names:
Number of attendees:
Adults $65.00
Children $25.00
T-Shirts
SIZE
QUANTITY
XS
S
M
L
XL
XXL
Accommodations:
Sea Island Best Western: 843-522-2090
(YOU MUST CALL & RESERVE YOUR
HOTEL ACCOMMODATIONS)
*SPECIAL RATE when you mention that you
are part of Longshore Boats group!
Dockage:
$2.00 X Boat Length =
30 AMP Shore Power
Yes
No
Quantity: