Pontoon Application Form

Name

Email Address

Address

Home Tel No:

Mobile Tel No:

Boat Name

Class:

Length of boat (M)

Beam (M)

Draft (M)

Keel Type

Expected Arrival Date

Declaration. Please Tick all boxes Declaration. Please Tick all boxes I wish to apply for a pontoon berth and understand that a deposit of £75 is payable. I understand that the deposit is non refundable in the event of my not taking up the offer of a berth that is allocated to me. I understand my deposit is refundable if I withdraw my application before the pontoon berth allocations are made, or if no berth is offered to me.

How do you want to pay the deposit How do you want to pay the deposit I will call the Office on 02392 463592 and I will pay by card. I will pay by BACS to Nat West: Sort Code: 53-50-33 A/C No: 86271520. Please include the boat name in the reference.

Please Enter Your Surname To Confirm You Are Signing This Form