Boat Dock Registration

Boat Dock Registration
Name of Vessel *
Registration Number*
Length*
Arrival Date*

MonthDayYear
Date
Arrival Time*

Hour Minutes

AM/PM Option
Estimated Departure Date*

MonthDayYear
Date
Estimated Departure Time*

Hour Minutes

AM/PM Option
Insurance Carrier*
Policy Number*
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Name of Vessel Owner*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Dock Rates*
In making this application to the use Mobile Convention Center Dock, under the jurisdiction of the City of Mobile, the user consents to all the terms and conditions of any and all applicable tariffs of the City of Mobile and agrees to pay all charges assessable to the vessel. A copy of the City's Tariff may be found at Tarriff Alabama Cruise Terminal.
I agree to the terms of the Tariff.*

YesNo

My Products*

0-12 HoursThe first 12 hours are free of charge.

$ Free Quantity

12-24 Hours

$50.00 Quantity

24-48 Hours

$100.00 Quantity

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country