Any changes to an existing contract (i.e. address, phone number, new boat, new partner, etc.) must be submitted in writing via a Change Request Form. A $30.00 charge will be applied when adding a partner or changing a boat. There is no charge for address or boat name changes.

You may fill out a Change Request Form on-line and submit it electronically, or fax it to us at (312) 747-6598. If you wish to send us a hard copy, please mail it to:

Westrec Marinas
541 N. Fairbanks, Suite 1020
Chicago, Illinois 60611

Requests involving boat changes will be processed upon receipt of ownership and registration documentation.

This form and its contents are encrypted and communicated in a secure format backed by VeriSign.

CHANGE REQUEST FORM

---

YOUR INFORMATION

First Name:     Last Name: Address1: Address2: City: Alaska Alabama Arkansas Arizona California Colorado Connecticut Dist of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ZIP: Phone (Home):     (Work):      (Cell): eMail:

HARBOR INFORMATION

Current Harbor: Choose one 31st Street 59th Street Belmont Burnham Diversey DuSable Jackson Inner Jackson Outer Monroe Montrose Current Assignment: (Select one of the choices to the right) Class A    Stall Class B    Mooring    Star Dock Class C    Dry Mooring    Laser Rack

CURRENT BOAT

Boat Type: Power   Sail Overall Length: (Include Bow Pulpit and Swim Platform) Beam:     Draft:

NEW BOAT

Check here if your boat has changed **Fax Proof of Ownership to (312)747-6598** Boat Type: Power    With Fly Bridge   Sail    Catamaran  Trimaran Boat Name: Overall Length: (Include Bow Pulpit or Swim Platform) Beam:     Draft:     Builder:      Year:       Model: Illinois State Registration (required on all boats):

YOUR NEW INFORMATION

Check here if your address has changed First Name:     Last Name: Address1: Address2: City: Alaska Alabama Arkansas Arizona California Colorado Connecticut Dist of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming ZIP: Phone (Home):     (Work):      (Cell): eMail:

COMMENTS

Comments:

PAYMENT INFORMATION

There is a $30.00 fee for all changes. Number: Expiration Month / Year: 0 This form and its contents are encrypted and communicated in a secure format backed by VeriSign.