2011 Boat Ramp Permit

							                                           2012
                           Somers Cove Marina
                              Boat Ramp Permit Form
                               For Personal Vessels
Application can be faxed with credit card information to 410-968-1408 or mailed with a check to
Somers Cove Marina, 715 Broadway, Crisfield, MD 21817. Your permit will be mailed to the
information you provide below.


Date:

Name:
                                               (First & Last)


Address:
                                                   (Street)



                                              (City, State, Zip)


Phone:

Vehicle Information:           Year:

                               Tag:

                               Make:

                               Model:

   $45.00
Payment Type:                  Cash:

                               Check:

                               Credit
                               Card #:

                                Expiration Date:                            V Code #:

                                                                   _________________________
                                                                          Applicant Signature

Notes:          *$45.00 Permits are for Somers Cove Marina Ramp ONLY and are not
               for commercial use. Commercial launching permits are available in the
                           Marina Office during normal business hours.*