Application Details (joint Owners should both complete the personal details and sign the application)

Areas marked * are required

Name*

Address*

Postcode

Tel No*

Mobile

Email

Boat Name*

Home Port

Berth No

Access card no

Type of vessel (ie Sail /motor )

Make or class

Length Overall

Draught Overall

Beam (max)

Displacement

Arrival date

Departure Date
(if Known

Do you require electricity for the duration of your stay?

yes no

Declaration*

I, the above named applicant, request Liverpool Marina ( Hereafter called "The Company") to grant me a berthing Licence at the above named marina. I agree to be bound by the Company's Marina Terms and Conditions which are clearly displayed on the marina premises and available on request, and understand the the Company reserves the right to take into account the general suitability of my boat for a particular berth before issuing any such Berthing Licence and the Company's decision in this matter shall be final.

Please tick to confirm you have read the declaration*

Insurance Company*

Poilcy No.*

I/We confirm the above craft will remain insured throughout the period of stay.*

I /We understand that your terms of business are in accordance with the contracts and terms of the National Yachts Harbours Association.

I/We Warrant the above information is correct to the best of my knowledge

Date*