Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
Suburb
State
Postcode
Mobile Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail
*
Confirmation Email
example@example.com
Vessel Details
Name of Vessel
*
Vessel Registration
*
Type of Vessel
*
Please Select
Mono Hull (Power)
Mono Hull (Sail)
Catamaran (Sail)
Catamaran (Power)
Trimaran (Sail)
Houseboat
LOA
*
(metres)
Beam
*
(metres)
Draft
*
(metres)
HIN Number
*
Fuel Type
*
Diesel
PULP
Emergency Contact Name & Number
*
Insurance Details
You will need to supply a copy of your current insurance certificate on arrival
Insurer
*
Policy Number
*
Policy Expiry Date
*
-
Day
-
Month
Year
Date
Upload your certificate of currency here
*
Browse Files
Drag and drop files here
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of
Arrival & Departure Details
Arrival Date
*
-
Day
-
Month
Year
Date
Departure Date
*
-
Day
-
Month
Year
Date
Estimated Fuel Quantity Required
(litres)
What type of berth would you like to book
Casual Berth (Day/Week/Month)
Permanent Berth (Quarterly/Annual)
Hardstand
Swing Mooring
Special Requests
By Signing this form, you acknowledge that you have received a copy of the Deed Terms & Conditions and Operating Rules (below) and certify that you have carefully read and agree to the Deed Terms & Conditions and Operating Rules which becoming legally binding on your signature.
After Submitting the form below, the Marina will be in contact to confirm your booking and take payment from you shortly.
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