Berth application form

Berth application form

We will telephone you to discuss your requirements and berth availability. Please also complete the direct debit application by using the link at the end of this form. This does not guarantee a berth.
I would like to apply for:*

an Annual Bertha Long Term Casual Berth
Name of Boat:*
Brand/Mark/Make of Boat:*
Type (Motor/Sail):*
Year of Build:*
Engine (Make and Size):
Total Overall Length (ft):*
Beam (ft):*
Draft (ft):*
Displacement (tonnes):
Previous Boats Owned (please list):*
Owner's Name:*
Occupation (please state type of business and position):*
Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tel no:*
Mobile no:*
E-mail:*
example@example.com
Work address (inc. business name): NB if retired please add last business name & industry *
Postcode*
Tel no:*
Date berth required*

MonthDayYear
Date
Accounts to be sent to:*

HomeOffice
https://www.berthon.co.uk/lymington-marina/terms-business/

https://www.berthon.co.uk/shipyard/terms-business/

Direct Debit Form
I wish to open an account with the Berthon Boat Company and its subsidiary Lymington Marina and have submitted a direct debit form; I have read and agree to abide by the Berthon & Lymington Marina Terms of Business.*

I agree
Should be Empty: