First Name*
 
 
Last Name*
 
 
 
Email*
 
 
Mobile Phone*
 
 
 
Address, City, Sate, Zip*
 
 
 
Preferred Payment Option*
 
Check
Credit Card
 
 
*Checks to be made payable to Jefferson Beach Yacht Sales and mailed to 24400 Jefferson Ave include on memo line of check: Rendezvous- Boat Name
Your Boat Name
 
 
Your Boat Length
 
 
 
Your Boat Beam
 
 
Your Boat Power Requirements
 
 
 
# of Guests on Board
 
 
Who is your JBYS Sales Professional?
 
 
 
 
 
Can't make it by boat, but would still like to attend?
 
 
By attending this event, you consent to photography and video recording, which may be used for promotional purposes. We look forward to capturing and sharing the excitement!*