Online Recreational Moorage Application Form
*
required fields
First Name
*
:
Last Name
*
:
Email
*
:
Phone
*
:
Fax:
Address:
City:
Province:
- Select Province -
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code:
Country:
Emergency Contact
:
Emergency Contact #
:
Start Date
*
:
Berth Size
*
:
Berth #:
Payment Plan
- Select Payment Plan -
Annual - Pre-Paid
Annual - *Quarterly Payments
Annual - *Monthly Payments
Vessel Name:
Make/Model:
Reg #:
Hull ID # (HIN):
Manufacturers Length:
Overall Length
*
:
Beam:
Draft:
Vessel Type:
- Select Vessel Type -
Motor
Sail
Fuel:
- Select Fuel -
Gasoline
Diesel
Thrusters:
- Select Thrusters -
Bow
Stern
Bow and Stern
none
Power Requirement
- Select Power Requirement -
30 Amp-120 Volt
50 Amp-208 Volt
100 Amp-208 Volt
Insurer:
Policy #:
Expiry:
Prior Marina :
Length of Stay:
Prior Marina Contact:
Other Reference:
Additional Information:
I have read and understand the moorage application procedures below
*
:
Moorage Application Procedures:
Coal Harbour Marina acceptance of a completed Moorage Application is in no way an offer of moorage nor an obligation to provide moorage. Coal Harbour Marina is a private recreational marina, which may decline Moorage Application acceptance and/or inclusion into any waiting lists.
Available berths may be offered on a “first-come, first-served“ basis with confirmation of moorage subject to: 1) acceptance of a completed Moorage Application; 2) payment of all applicable fees and dues; 3) confirmation of vessel insurance; 4) duel execution of a Moorage License Agreement.
Applications are deemed “active” for 12-months which period may be renewed by written request. Waiting list applicants offered moorage must respond within of 48-hours (two business days). Non-responding applicants – and/or applicants declining a suitably sized berth – will be removed from the waiting list.
Live-Aboard and Commercial/Charter Moorage are not available – strictly monitored.
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