Mooring Application

First Name

Last Name

House Number / Name

Street Address

Town

County

Postcode

Telephone Number

Email Address

Confirm Email Address

Boat Name

Boat Make

Engine Make

Horsepower

LOA max incl. davits/dinghy (m)

Year of Manufacture

Max. draught (m)

Max. beam (m)

Engine Type Engine Type Single Twin

Fuel Type Fuel Type Diesel Petrol Electric

Insurance Company

Insurance Policy Number

Insurance Value

Insurance Expiry Date

Mooring Required From (Date)

Mooring Required To (Date)

Mooring Area Preferred

Source of enquiry

Previous mooring

Do you require any of the following? Do you require any of the following? Pump Out Electricity Trailer Storage

I would like to book a mooring at Harleyford Estate Ltd. I have received a copy of the Schedule of Charges with Special Conditions and the Mooring Contract Terms and Conditions and agree to be bound by them. I would like to book a mooring at Harleyford Estate Ltd. I have received a copy of the Schedule of Charges with Special Conditions and the Mooring Contract Terms and Conditions and agree to be bound by them. I agree