Casual Berth Booking Form

All marina guests must read and agree to the Marina terms and conditions before using the facility.

Guest Name

First

Last * *

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Are you a member of:

If so, please provide your member number:

Message

Name of Vessel

Type of Vessel

Registration Number

Sail No (if applicable)

Casual (1 night - 1 week)

Short Term (1-12 months)

Arrival Date

Departure Date

Boat Length (Overall)

Name of Insurer

Insurance Policy Number

Policy Expiry Date

Any other information

Confirmation

I authorise Royal Melbourne Yacht Squadron to contact me for my credit card details and charge me according to the published rates above, including for any extension I seek or any return booking. I agree that an additional $20 will be debited from my credit card if I fail to return my allocated security fob. I acknowledge that I have read and understood the terms and conditions of berthing.

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