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Licensee/s: Full Name/s
*
Licensee/s: Address
*
Home Phone / Mobile Phone Number
*
Email
*
Boat Name
*
Boat Design
*
LOA
*
Beam
*
Draft
*
Are you a current Bellerive Yacht Club member?
*
Yes
No
Applied for Membership
Where is your boat currently berthed?
*
What will be the purpose of your boat?
*
Offshore Racing
Twilight Racing
Club Pennant Racing
Club cruising and on water social activities
Cruising and pleasure boating/sailing
Live aboard
Which type of berth do you require ie.
*
Piled berth
Floating berth
Any other relevant Information? Please note that the completion date for the construction of the new marina is currently anticipated in August 2022 so new berths will not be available before that time
Comment
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