Dock Lease Application

Tell us about your dockage needs

Progress Step 1 of 13

Dates

When will you arrive and depart?

Arrival * Departure *

Account Type

Personal lease or a business entity?

Personal Business

Owner Information

Contact details

Name * Phone * Email *

Owner Information

Mailing address

Address * City * State * ZIP *

Business Information

Entity details

Business Name * Business Phone * Business Email *

Business Information

Entity mailing address

Business Address * City * State * ZIP *

Emergency Contact

Designated backup

Name * Role * Phone * Email

Vessel

Identification

Registration Number * Vessel Name * Manufacturer * Year * Model *

Vessel

Dimensions

LOA (ft) * Beam (ft) * Draft (ft) *

Crew Live Aboard

Live aboard required during the lease?

Yes No

Crew Live Aboard

Enter amount of crew

Total crew *

Power Requirements

Select preferred shore power

30 A 50 A 100 A (single-phase) 2 × 100 A (single-phase) 100 A (three-phase)

Insurance

Valid coverage required

Insurance Carrier * Policy Number * Policy Expiration Date *

Dock Lease Application