RSMAS PHYSICAL PLANT STUDENT BOAT TRIP SLIP
User: ___________________ Department: _______________ Phone #: _______________
Account #: ________________ Signature of Advisor: ______________________________
Approval/Associate Dean for Graduate Studies: ___________________________________
Float Plan
Depart: ________________________ ____/____/____ ____ a.m./p.m.
Return: ________________________ ____/____/____ ____ a.m./p.m.
Destination - Latitude _____degree____ minute_____ Longitude _____ degree____ minute____
Area of Operation: ______________________________________________________________
Proposed Route: ________________________________________________________________
Research Objectives Description: __________________________________________________
Scuba Diving To Be Performed: _________ Approved dive plan attached: ________
List of Persons Aboard (including operator)
Name |
Institution/Agency |
Emergency Name & Phone # |
______________________ |
______________ |
______________________ |
______________________ |
______________ |
______________________ |
______________________ |
______________ |
______________________ |
______________________ |
______________ |
______________________ |
Charges
# of Gallons (gas) _______ @ $1.75 (price/gallon) = $_________
# of Gallons (oil) ________ @ $1.25 (price/pint) = $ _________
# of Days (boat use) _____ @ $_____ (price/day) = $ _________
Additional fees (damages, cleaning, crew, other):
Explanation: _____________________________________Amount: $________
Less Refunds (explanation): _________________________Amount: $________
As of ____/____/____ total balance due: $________
Debit Account #: __________ Amount: ________ Credit Account #: ________
Additional Comments: ___________________________________________________________
_____________________________________________________________________________