Dock Request Form

South Shore Hills Property Owners Association

NAME__________________________________________________________________

LOT NUMBER(s)________________________________________________________

PHONE NUMBER________________________________________________________

DOCK SPACE INFORMATION:

___________ I HAD A DOCK SPACE LAST YEAR

___________ I AM REQUESTING A DOCK SPACE FOR THE FIRST TIME - SEND NO MONEY NOW

___________ $200 DOCKING FEE, PER HALF-DOCK

___________ $104 HOIST FEE – FULL SIZE HOIST (covers in & out)

___________ $52 HOIST FEE – JET SKI HOIST (covers in & out)

___________ TOTAL AMOUNT DUE - PAYABLE NO LATER THAN APRIL 15, 2020

We MUST have a VALID boat registration on file.

When you renew your registration, please submit a current copy to Cathy Harden.

MAKE ALL CHECKS PAYABLE TO:

SSHPOA

c/o Judy Ettema

3285 S. East Torch Lake Dr

Bellaire, MI 49615

PLEASE INCLUDE YOUR LOT NUMBER(S) ON ALL CHECKS SUBMITTED.