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Diversified Marine Services

Diversified Marine Services Work Order

This form will speed up the process and we will not start any service request without proper authorization. Please contact us via e-mail and a service representative will assist you.

If you'd like to make a payment or project deposit online, please visit our secure online payment form.

Note:
For work orders over $500.00, Diversified Marine will require a credit card to be kept on file.

Name:
Address:
City, State, Zip:
Email:
Phone Number:
Boat Type:
Boat Name:
Boat Location:
Key & Combo:
Year:
Make & Model:
LOA:
Beam:
Slip Number:
Comments/Work Requested: