Marina Berth Rental Application FormPlease complete the information below. We will get back to you shortly to confirm availabilityPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Section 1: Contact DetailsName *FirstLastMobile *Email *Contact Address *Emergency Contact Name *FirstLastEmergency Mobile *Rental Date From *Rental Date To *Rental Type *--- Select Choice ---Short TermLong TermSection 2: Vessel DetailsVessel Name *Vessel Type *--- Select Choice ---First ChoiceSecond ChoiceThird ChoiceVessel Make/Brand/Model *LOA is vessel length plus appendences *Beam *Draft *Vessel RegistrationVessel Colour *Holding Tank *--- Select Choice ---YesNoDo you have a sewage holding tank?Power *--- Select Choice ---YesNoDo you require a connection to power?Upload EWOF & Electrical Tag * Drag & Drop Files, Choose Files to Upload Photo of boat Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Section 3: Insurance DetailsPolicy Expiry Date *Third Party Liability AmountUpload Insurance Policy * Drag & Drop Files, Choose Files to Upload You can upload up to 2 files. Section 4: Terms & ConditionsCheckboxes *I agree to the Berth Rental Terms & ConditionsCheckboxes (copy) *I agree to the Marina Rules Name 4: Terms Applicant Signature * Clear Signature Submit
