Application for a berth at Whitepoint Marina 2022
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
PastMember of Cove Sailing Club
Yes
No
How long have you being a member?
Boat name
Model / Type
LOA (Meters)
Beam (Meters)
Draft (Meters)
Sail / Power
Sail
Power
Please chose
Insurance Company
Insurance Policy No
Renewal Date
Insurance Renewal Date
-
Month
-
Day
Year
Date
Supporting information: Please briefly outline any recent or planned activity which may support your application.Highlight where you have supported or plan to support activities relating to Cove Sailing Club
This boat / yacht will not be used for Commercial use:
Agree
Disagree
Please chose
All information contained above is correct to the best of my knowledge
Date
-
Month
-
Day
Year
Date
Signature
Clear
Submit
Should be Empty:
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