Marine Stadium Marina

As of (date) , I wish to submit an application for a foot rack space for the following vessel:

OWNER AND VESSEL INFORMATION:
NAME:  ADDRESS:  
CITY:   STATE:   & ZIP CODE:    
BUSINESS INFORMATION:
BUSINESS NAME: ADDRESS:
CITY: STATE: & ZIP CODE:   
HOME PHONE:           
BUSINESS PHONE:
VESSEL NAME: REGISTRATION OR DOCUMENTATION #
LENGTH:   BEAM:   DRAFT:   MAKE:  

AT TIME OF BERTH ASSIGNMENT THE OWNER HEREBY AGREES TO:

1- Submit a non-interest bearing security deposit equal to one month rent and current month dockage.
2- Furnish copy of vessel current Liability Insurance showing a minimum of $300,000.00
3- Provide copy of current boat Registration or Documentation
4- Copy of ID (Driver’s License or Passport)

NOTICE

ONLY VESSELS IN GOOD CONDITION AND CAPABLE OF SAFE SELF-PROPULSION WILL BE ADMITTED IN THE MARINA.

IF THE TIME OF YOUR ASSIGMENT ARRIVES AND WE ARE UNABLE TO CONTACT YOU OR YOU ARE NOT READY TO TAKE YOUR BERTH WITHIN 7 (SEVEN) WORKING DAYS FROM THE FIRST CONTACT, YOUR REQUEST WILL BE TERMINATED.

I HAVE READ AND UNDERSTAND THE CONDITIONS OF THIS APPLICATION

Signature:   Date:  

Received By Staff: ____________________________________ Date: _____________________________

Submit Application