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 IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin 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 Name Alternate Contact Phone No. Vessel Name(Required) HIN(Required) Registration Number Registered Person's Name Registration Expiry DD slash MM slash YYYY Registration Papers(Required)Please upload a copy of your registration papers in the owners name.Max. file size: 64 MB.Manufacturer Type Model Build Year Colour / Markings Hull(Required) Fibreglass Aluminium Steel Timber Other Length Overall(Required)(Length Overall) as per Australian Guidelines in feet Beam(Required) Draft(Required) Hull(Required) Inboard Outboard Stern Drive Sail Single Twin Petrol Diesel Engine Serial No. Engine HP Insurance 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: 64 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 Fee Payment Frequency One time Weekly Monthly Quarterly Yearly Payment Method(Required) Credit Card Direct Deposit Any Further Questions?CAPTCHA
