WEBLINK LISTING: Check Payment
Print out this form, fill it in, and include it with your payment of $10.00
YOUR MARINA'S LISTING INFORMATION:
Marina's Website URL: _http://___________________________________
Your Name: _____________________________________________
Marina's Name: __________________________________________
Address:________________________________________________
_______________________________________________________
City:__________________________ State:_____ Zip:__________
Phone:__________________________
Fax:____________________________
Toll-Free (if desired): _____________________________
Email Address:___________________________________________
Lake or River (please include if your marina is on a major lake or river):
_________________________________________________
Comments:
Direct questions to: info@marinamate.com
Make check out to: HARRISON ELECTRONIC SYSTEMS, INC.
Send to: MARINAMATE.COM, 1167 N. Washington St., Wilkes-Barre, PA 18704