Test Overlay by L'Île Dorval Island | Nov 15, 2020 Barge Traffic Manager Date* Date Format: MM slash DD slash YYYY Time* : HH MM AM PM Captain of the Barge (Select an option)*Please SelectGaryRobertAlexOtherTransport Terms (Select an option)*Please SelectOne Way Barge $75.00 + taxesReturn Barge $100.00 + taxesShared Barge TBDDestination Chalet/Cottage*Please enter a number from 1 to 62.Cottage Numbers OnlyPayload/Cargo*Shipper*Please SelectDelivery AgentContractorCottage OwnerBarge Captain delegated by Cottage OwnerAgentOtherName of Signing Authority*Signing Authority Email (optional) To send a receipt to the agent please enter an email address.Signature*Other Information (Optional)
