Contact Information:

Name:
Address:
City:			State:	Zip:
Phone #:			E-mail:

Boat Description:

Manufacturer:		Year:
Make\Model:

Select Swim-Platform Model:

	Euro		Pontoon		Fun Step 50 or 64
	Cruiser		Capri 68 or 77		One and Two Step

Size of Platform:  Width , and added Length

Mounting Style:       Split Level     Flat Top                Color:

Ladder Placement: Select Placement Below.... starboard side starboard corner port side port corner stern starboard stern center stern port other            Pocket:   Yes   No

Ladder Type:

	3 Rung Ladder $155.00 installed			Already have one
	4 Rung Ladder $155.00 installed

Option Accessories:

	Vents Qty. ($65.00 each)             Lighted Vents Qty. ($165.00 each)
	Storage Compartment: Yes   No  ($275.00 each)
	Stainless Steel Railing:  Yes   No       approximate length ( $45.00 per/foot)
	Custom Molding:         Yes   No

Comments:

Please do not hesitate to call us should you have any questions.