Mooring Enquiry

Name *

First Name

Last Name

Street Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

First Name

Last Name

Vessel Registration Expiry Date *

MM

DD

YYYY

Propulsion *

tick

Sail

Outboard

Inboard

petrol

Diesel

Other

Arrival Date *

Arrival Date

MM

DD

YYYY

Departure Date *

MM

DD

YYYY

Email Insurance to [email protected] *

Please check below to indicate you have emailed a copy of the current insurance for your vessel to [email protected] ALL VESSELS REQUIRE PROOF OF REGISTRATION AND FULL COMPREHENSIVE INSURANCE COVER INCLUDING SALVAGE IN ORDER TO HOLD BERTH IN THIS MARINA.

I have emailed Insurance Certificate of Currency to; [email protected]

Insurance Expiry Date *

MM

DD

YYYY

Do you have any pets onboard? *

Yes

No

Terms and conditions *

I have read and agree to the terms and conditions of the Mooring Licence (link below)