Application for a berth at Whitepoint Marina 2024
by Submitting this application,I confirm I have read and understood Cove Sailing Clubs Marina Rules and Agree to abide by them.
Name
Email
Phone Number
-
Area Code
Phone Number
Street address
Street address line 2
City
Eir Code
Co- Owners -NAME - EMAIL -MOBILE
Current Member of Cove Sailing Club
Yes
No
Boat name
Model / Type
LOA (Meters)
Beam (Meters)
Draft (Meters)
Sail / Power
Please Select
Sail
Power
Please chose
Insurance Company
Insurance Policy No
Renewal Date
Insurance Renewal Date
-
Month
-
Day
Year
Date
All information contained above is correct to the best of my knowledge
Date
-
Month
-
Day
Year
Date
Signature
Submit
Should be Empty: