Berth Application Online Form

Registered Owner's Name: *

First

Last

Social Security #: *

Date of Birth

Drivers License *

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone

Cell Phone

Emergency Contact (Name) *

First

Last

Emergency Phone

Previous Address (if less than five years)

Address Line 1

Address Line 2

City

State

Zip Code

Bank:

Branch Location

Vessel Insured By:

Policy No.:

Insurance Agent (Name):

Insurance Agent Phone

Owner's Employer Name

Employer Phone

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Pet(s)? *

Yes
No

Pet Descriptions

Current or Previous Marina:

By signing below, authorizes marina to contact owner/operator of previous mooring location to verify tenancy and payment history.

Current Wharfage Fee

Yacht Club Member?

Yes
No

Yacht Club Name?

Identify Holders of Mortgage & Other Liens Against Vessel

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Home Phone :

Business Phone:

Is this vessel owned in a partnership?

Yes
No

Name(s): *

First

Last

Main Phone

Work Phone:

Vessel Name

CF or USCG Documentation #:

Make:

Year:

Vessel Information:

Power
Sail
Multi-Hull

Builders Model

Hull #:

Hull Material:

Hull Color:

Length Overall:

(End to end including swim steps, bowsprits, outboard, all overhangs)

Beam:

Depth:

Check if you have the following:

Marine Sanitation Device:

Disposal Method:

Boat Maintenance Information:

Power Boats:

Dinghy Information Length Overall

Dinghy Beam

Dinghy Power:

Dinghy Color:

Dinghhy Information Type:

Ridgid
Inflatable

Dinghy Storage Method:

File Upload of Current Vessel Registration or Bill of Sale and Receipt

Click or drag files to this area to upload. You can upload up to 4 files.

Please upload a copy of the current vessel registration or documentation or a copy of the bill of sale and the receipt showing fees have been paid to the DMV. (File Extensions allowed: .jpg, .pdf, .png)

Liability Insurance file Upload

Click or drag a file to this area to upload.

Evidence of current liability insurance (minimum of $300,000) (File Extensions allowed: .jpg, .pdf, .png)

3 Current Photos Upload

Click or drag files to this area to upload. You can upload up to 3 files.

At least 3 current photos of the vessel. 1 side view, 1 back view, 1 front view. Make sure to include CF # and/or documented name. (File Extensions allowed: .jpg, .pdf, .png)

Signature:

Yes

By clicking yes, you acknowledge that the information on this application is true and correct to the best of my knowledge. I hereby authorize Grand Marina or its agents to verify the above information and obtain a credit report. All applicants must sign above.

Date / Time

Date

Time

Upload Signature

Click or drag a file to this area to upload.

For an application to be complete, it must be accompanied by the following:

A copy of the current vessel registration or documentation or a copy of the bill of sale and the receipt showing fees have been paid to the DMV.
Evidence of current liability insurance (minimum of $300,000)
At least 3 current photos of the vessel. 1 side view, 1 back view, 1 front view. Make sure to include CF # and/or documented name.
An application Fee of $50.00 is required to hold a slip. The fee will be utilized as follows: - Security Deposit:
If the application is approved, the $50 fee will be applied to your deposit • If the application is denied, $25 will be returned
If the application is canceled by the applicant, the fee will not be returned.
Once your application has been approved, the vessel will still need to be inspected before a license agreement is executed.
The first month's rent and an equal amount as a security deposit is due on the date of move-in.
A deposit is required for each key.

The rental rate is based on overall length: Boat or berth length whichever is greater. Final rental amounts will be determined when the boat arrives and is measured by marina personnel. Vessels are assigned berths that accommodate them with no overhang, except as permitted by Marina staff. If the boat is found to be too large for the slip, the tenant may be required to be relocated to a larger berth. The rental rate is based on boat or berth length, whichever is larger. Final rental amount will be determined when the boat arrives and the overall length is measured by marina personnel. Vessels are assigned berths that accommodate them, with no overhang except as permitted by Marina.

Applicants Initials

Click or drag a file to this area to upload.

Upload your Initials as a JPG or PNG

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Berth Application Online Form

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