New Service Customer Information Form

For new or returning customers with new units, please complete the form below. Storage customers, please email insurance information to service@cecilmarine.com or upload file below.

Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

Boat Year

Boat Make

Boat Model

Hull ID Number

Boat Registration Number

Engine #1 Year

Engine #1 Make

Engine #1 Model

Engine #1 Serial Number

Engine #2 Year

Engine #2 Make

Engine #2 Model

Engine #2 Serial Number

Trailer Year

Trailer Make

Trailer Model

Trailer VIN

Trailer Tag Numer

Comment or Message *

File Upload

Click or drag files to this area to upload. You can upload up to 6 files.

Phone