Marina Berth, Hardstand, Mooring

Booking & License Application Form

Please complete all sections in full. Incomplete applications, or applications submitted without a valid Certificate of Currency, may not be processed. Return the completed form to the WSC office.

Type of Booking Required

Tick all that apply.

Hardstand

Tender Storage

Mooring

Marina Berth

Term/Payment Period

Tick one.

Daily

Weekly

Monthly

Quarterly

Annual - Paid Upfront

Annual - Monthly Instalments

5-Year Licence (Marina Berth & Hardstand only)

Payment Method

Tick one.

EFT/Bank Transfer

Credit Card

Direct Debit

Cash

Cheque

Member & Contact Details

Full NameMembership NumberEmailPhoneHome Address

Next of Kin (Emergency Contact) Details

NOK Full NameRelationship to MemberEmail AddressPhone

Vessel Details

Vessel NameVessel Registration No.Length (LOA) - MetresBeam - MetresDraw/Draft - Metres

Agreement Period

Start DateEnd DateComments

Insurance Details

Insurer NamePolicy NumberPolicy Expiry Date

I confirm a current Certificate of Currency is attached, and that it states Whitsunday Sailing Club Limited as an interested party on the policy. (Required — applications without this will not be accepted.)

Upload File

Max file size 10MB.

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Declaration

I declare that the information provided in this application is true and correct,and I agree to be bound by the Whitsunday Sailing Club Marina, Hardstand & Moorings Rate Schedule and licence terms and conditions current at the time of this agreement.

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