Berth Reservation Form

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YACHT NAME (required)

Registration Number (required)

Company Number

Draft of Vessel (required)

Length of Vessel (required)

Air Draft (required)

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OWNER NAME (required)

Owner Email (required)

Owner Telephone (required)

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SKIPPER NAME (required)

Owner Email (required)

Owner Telephone (required)

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Agent NAME (required)

Agent Email (required)

Agent Telephone (required)

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INSURANCE Co (required)

Policy Number (required)

Date of Expiry

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Invoice

(Tick as Appropriate)

 Owner Skipper Agent

Invoice Address

Select Marina (required)

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Berth Information

Length of Berth (required)

Berth Number

Date of Arrival

Date of Departure

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Banking Information

Natwest Bank
• SortCode : 60-60-60
• Acc No : 4761023
• BIC : RBOSGIGI
• IBAN : GI18NWBK060606047631023

 Cheque (Pre-Auth. Required) T/T (Pre-Auth. Required) Cash Credit Card (+3%)

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Sevices Required

 Premier Berth Water (£1 Min Charge 1p/Litre) Electricity (£1 Min Charge 15p/kWh) Flush Out

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I have read and understood the Terms and Conditions of booking. (required)

Please enter the letters below to verify

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