UNRIVALLED PIECE OF MIND Berthing / Mooring Agreement ONLINE MARINA BERTHING / MOORING AGREEMENT FORM If you have not yet made an enquiry and agreed to a berthing fee, please do that first using the link below Make an Enquiry First Here Berthing Agreement Form Berthing/Mooring Agreement Step 1 of 4 25% Licensee Full Name(Required)'Owners name' (The Licensee must be the owner of the Vessel described below) First Last Licensee's Email(Required) Licensee's Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Licensee's Phone Number(Required)ABN / ACN(If applicable)Licensee's Drivers License No.(Required)Drivers License Expiry(Required) DD slash MM slash YYYY Alternate Contact NameAlternate Contact Phone No. Vessel Name(Required)HIN(Required)Registration NumberRegistered Person's NameRegistration Expiry DD slash MM slash YYYY Registration Papers(Required)Please upload a copy of your registration papers in the owners name.Max. file size: 2 MB. ManufacturerTypeModelBuild YearColour / MarkingsHull(Required) Fibreglass Aluminium Steel Timber Other Length Overall(Required)(Length Overall) as per Australian Guidelines in feetBeam(Required)Draft(Required)Hull(Required) Inboard Outboard Stern Drive Sail Single Twin Petrol Diesel Engine Serial No.Engine HPInsurance Company(Required)Policy Number(Required)Expiry Date(Required) DD slash MM slash YYYY Insurance Policy(Required)Please upload a copy of your current insurance certificate of currency. Must be in the owners name. NOTE: All vessels must have current public liability insurance against liability for any loss or damage to property and for the death or injury to any person caused by, through or in connection with the vessel for an insured amount of at least $10,000,000 and comprehensive insurance to the replacement valve of the vessel which includes full salvage cost and environmental clean-up.Max. file size: 2 MB. Type of Storage(Required) Marina Berth Swing Mooring Please Click Here to Review our Terms and ConditionsI Declare The Following(Required) I am over 18 years of age and sign this document. I have also read the terms and conditions located in the link above and agree to abide by this marina regulations document. Section E - Dates, Fees and PaymentsArrival Date DD slash MM slash YYYY Departure Date DD slash MM slash YYYY Storage Type Marina Berth Swing Mooring License FeePayment Frequency One time Weekly Monthly Quarterly Yearly Payment Method(Required) Credit Card Direct Deposit Any Further Questions?CAPTCHA
