ATTENTION!
This application is for one month or more rental leases.

ARRIVAL DATE
Arrival Date MM/DD/YY
REGISTERED BOAT OWNER
Registered Owner's Name
Social Security #
Birthday
Email
Drivers License #
Car(s) License Plate #
Address
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
Previous Home Address (if less than five years)
Business Name
Business Address
Business City
Business State
Business Zip Code
LEGAL BOAT OWNER (if different from registered owner)
Legal Owner's Name
Address
City
State
Zip Code
Home Phone
Work Phone
PARTNER/SPOUSE (Please check one: Spouse Partner)
Name:
Social Security #
Birthday
Drivers License #
Car(s) License Plate #
Address*
(*only required if different than Registered Owner)
City*
State*
Zip Code*
Home Phone*
Work Phone
VESSEL INFORMATION
Vessel Name
Registration No. or Documentation No.
Vessel Make
Vessel Type   Power   Sail  Multi-Hull
Builders Model Designation
Year
Trailer License #  
Hull Material
Manufactured Length feet inches
Length Overall feet inches
Beam feet inches
Draft feet inches
Holding Tank   Yes   No   PortaPotty
Fuel   Diesel   Fuel   Electric
Motor   Inboard   Outboard   Auxiliary
County & State vessel Registered/Documented County State
Live-Aboard   NO YES - (If yes, number of liveaboards )
Pets   NO YES - (If yes, brief description of pet: )
Presently berthed at
City
INSURANCE
Company
Policy #
Phone
City

Before you press the button below,
please verify that all the above information is correct.
**
By submitting this online application, I authorize Grand Marina to verify the above information and obtain a credit report.

Give us a call and come see for yourself!
Tel: 510-865-1200 or email us.
2099 Grand Street, Alameda, California 94501, USA
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