Royal Palm Yacht Club

Request for Temporary Dockage

To submit a request for Temporary Dockage please complete the brief form below and click the "Submit" button.

note - when you click "Submit" your information is sent to a secure website and will not be shared with any unauthorized users

We will contact you via E-mail or by Phone to let you know if Temporary Dockage will be available for the time period you specify.

A Credit Card may be required to hold a reservation .
Note: this request does not guarantee a reservation for Temporary Dockage .

Name - x
Vessel Name
Yacht Club Membership Number	Yacht Club Name
E-mail Address - x
Cell Phone ( NOT Home Phone )
Subject
Address
City
State / Zip	Zip Code
Vessel Manufacture / Description
Length Overall	Draft Beam
Arrival Date	Estimated Time of Arrival
Departure Date
Power Requirements	Single 30 Amp Double 30 Amp
	Single 50 Amp Double 50 Amp
Wi-Fi Internet	Yes No
Message - x Required Fields x	.. type any additional info here .. RPYC
	- When complete just 'click' the 'Submit' Button