For Office Use Only
Date Received:  
Amount Received:  
Form of Payment:  
Date Confirmation LTR:  
Dock Staff Post Initial:  

THE BLACK DOG WHARF
Mail Reservation or Fax Request Form to:
The Black Dog Wharf
P.O Box 429
Vineyard Haven, MA 02568
Phone
: 508-693-3854   Fax: 508-693-1881
TRANSIENT MARINA RESERVATION REQUEST Note: Shark Tournament Special Rates apply July 16-19, 2008
ARRIVAL DATE: DEPARTURE DATE: NUMBER OF NIGHTS:
BOAT NAME: ETA:
Vessels arriving more than 2 hrs after E.T.A. without contacting Wharf office risk losing reservation and deposit.
Check-OUT time is 11:00 AM. Check-IN time is 1:00 PM (1300)
NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: EVENING: CELL:
FAX: E-MAIL:
MAKE OF VESSEL: POWER   SAIL
MODEL: YEAR: OVERALL LENGTH:
BEAM: DRAFT: * If all appendages i.e. swim platforms, bow sprits, etc. are not included, space may not be available.
  30 AMP <- ELECTRICAL REQUIRED -> 50 AMP   NO. of CORDS:
NUMBER OF ADULTS: CHILDREN: PETS:
ANY SPECIAL NEEDS:
American Express/VISA/Mastercard accepted
CREDIT CARD NUMBER EXP. DATE:
ENCLOSED IS A CHECK (Made out to The Black Dog Wharf)
The Black Dog Wharf Policies & Terms
• A 50% deposit is required for stays of more than one night, balance due upon arrival. One night stay requires full payment. Minimum dockage fee is based on 35 foot per night. Rates are subject to change without notice.
Rafting may be required at the Dockmaster's discretion. The Black Dog Wharf reserves the right to raft, full charges still apply. During high season, rafting should be expected.
Assignment and re-assignment of dock space is at Dockmaster's discretion.
All fees apply regardless of weather conditions. Dockmaster has the right to clear dock at any time.
Cancellation Policy: 72 hours or more prior to arrival, a minimum charge of one night's dockage fee will be applied. No refund of deposit will be given for any cancellation within 72 hours of arrival. There are no refunds for early departures.
Dockage at The Black Dog Wharf is at your own risk. The facility's owner and operator are not responsible for damage caused by fire, theft, casualty, and any other cause whatsoever to any person, vessel, or its contents.
• Two night minimum on weekends (Friday, Saturday) during July and August
• Hourly rate in-season $15.00.
SIGNATURE: DATE:
Per Day Fee Calculation: *35-49' - $4.00/ft | Under 50-99' - $4.75/ft | Over 100' - $5.00/ft
*Note: 35’ minimum length. Electrical: 30 Amp $15.00 | 50 Amp $32.00

SHARK TOURNEY June 16-19: 35-49' - $5.00/ft | Under 50-99' - $5.75/ft | Over 100' - $6.00/ft
Dockage Fee: Length: x Rate: x #Nights: = $
Electric Fee: No.Cords: x Rate: x #Nights: = $
TOTAL: = $