YOUR CONTACT DETAILS

Your Name:
Address:
Post Code:
Country:
Home Tel No:
Mobile Tel No:
email:

BOAT DETAILS

All lengths in metres please

Name on Boat:
Make:
Model:
Length Overall (m):
Draft (m):
Beam (m):
Keel Type:
Expected Arrival Date:

DECLARATION

Please Tick All Boxes
I wish to apply for a pontoon berth and understand that a deposit of £75 is payable.I understand that the deposit is non refundable in the event of my not taking up the offer of a berth that is allocated to me.I understand my deposit is refundable if I withdraw my application before the pontoon berth allocations are made, or if no berth is offered to me.

PAYMENT OF DEPOSIT

Please advise how you wish to pay the deposit
I will call the Office on 02392 463592 and I will pay by card.I will pay by BACS to Nat West: Sort Code: 53-50-33 A/C No: 86271520. Please include the boat name in the reference.

SIGNATURE

Please Enter Your Surname To Confirm You Are Signing This Form

All lettings are made in accordance with The Standard Berthing, Mooring and/or Storage ashore Licence for vessel(s) at a Marina or Boatyard. A copy of which is available from the office.
Submit