Berth Booking Form

* = Required field

REQUESTED DATES

Arrival:
Departure:

VESSEL OWNER DETAILS

Company Name (if applicable):
*Applicant Name:
*Address: (full address or PO Box, including city)
Home Phone:
Business Phone:
*Mobile Phone:
*Email Address:

VESSEL DETAILS

*Name:
Builder / Model:
*Type:	- Sail Power Motor Sailer Commercial Other If other please give two word description:
*Usage:	- Private Charter Ferry Fishing Other If other please give two word description:
Construction:	- Timber GRP Steel Aluminium Other If other please give two word description:
*Number of Hulls:
*Length Overall:
*Maximum Beam:
*Draft:
MSA Number (if applicable):
Registration Number (if applicable):
Nationality:
Port of Registry:
Radio Call Sign:

INSURANCE

*Insurance Company Name:
*Policy Number:
*Expiry Date:
*Insured Amount: Hull:
Public Liability:

Comments / Questions

Comments / Questions:

All vessels wishing to connect to the shore power supply must have a current electrical Warrant of Fitness.
I wish to connect to shore power:
My vessel has a current Electrical WOF:
All berth applications are subject to availability of a suitable berth and acceptance of the application by VHHL. Berth bookings will not be confirmed until receipt of the required deposit amount which will be invoiced on acceptance of an application.
Rental payments must be made monthly in advance (or for periods of less than a month in full in advance).
Should my application be successful I accept the Berth Licence Agreement Standard Terms and Conditions (click to view PDF) *  "I AGREE"
*Image Verification:
*All above asterisked options are required for the form to be submitted. Your information will not be given to any third party.