Form Berthage Winter - Malahide Marina

Winter Berthage

Fields marked with an * are required

APPLICANTS DETAILS

First Name *

Last Name *

Email *

Address *

Phone *

PARTICULARS OF BOAT

Boat Name *

Boat Make *

Boat Type *

Length Over All (LOA) in Metres *

Beam *

Draught *

SERVICES REQUIRED

Berthage

Storage Ashore

From *

To *

Winter Berthage

Environmental Charge (Mandatory under MARPOL) *

Lift Out (€22.50 – less 20% discount)

Lift In (€22.50 – less 20% discount)

Hull Wash - Lightly fouled (€7.50 less 20% discount)

Cradle Hire/Chock Hire:

OPTIONAL EXTRAS

Electricity: (Metered and charged per unit (kW) on a monthly basis)

INSURANCE DETAILS

Company *

Policy Number *

Expiry Date *

DECLARATION

I/We agree to pay, on the signing of this Licence, the Euro sum made up as above.

I/We request Malahide Marina to provide berthage for my/our vessel specified above. In consideration of the above I/we agree to be bound by the Company’s Terms, Conditions and Policies which are displayed in the Marina Office, on the marina website, and available on request. I/We understand that Malahide Marina reserves the right to take into account the general suitability of my/our boat for a particular berth afloat or ashore before issuing any such license and their decision in this matter shall be final. I/we confirm that the above-mentioned vessel is insured with at least a minimum of third-party cover of €3M and will remain so insured throughout the period of the licence now applied for.

Terms and Conditions

By checking this box I certify all information to be true and correct to the best of my knowledge. *

Signature

I warrent the above information is correct to the best of my knowledge.

Date *

‐ Any termination or alteration of contract will incur an administration fee of €250
‐ No boat used for habitation shall lie or remain in the Marina

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