Application for Tenancy
Name
Address
City
Driver's Licence
State
Zip
Email (required)
Home Phone
   Cell Phone 
Date of Birth
Soc Sec Number
Bank
Branch
Account Type

          Employer Information
Employer Name
Address
City
Zip
Work Phone
How long employed?

          Legal Owner (Name of bank or legal owner)
Name
Address
City
Zip
Phone

          Vessel Information
Current Marina
Date Slip Needed
Make/Builder
Year Built
Type of Vessel

Overall Length
Beam
Draft
Reg/CF # - Doc. #
Name of Vessel
Hull Material
Live Aboard?

     # of People

Insurance Company
Insurance Agent
Expiration
Coverage
Emergency Contact
Phone #
Relation
How did you hear about us?
 
                        
Slip Registration Yacht Haven Marina (310) 834-6892 (877) 55 YACHT 33.766  west 118.249 north Please complete all information. After receipt of your Slip Registration you will receive a confirmation notice. At that time, we will require the additional documents to be either mailed or faxed to the marina. Upon approval, the marina will contact you, and at that time your slip assignment will be made. A copy of current vessel registration/documentation, insurance policy and a current color photo of the vessel are required. Slip and privileges are non transferable. Liveaboard status (2 max) is an additional charge, please see the current rate sheet. A written notice must be provided 30 days prior to the date of vacating. Release and Disclaimer Information Applicant represents that all statements herein are true and current and hereby authorizes YACHT HAVEN MARINA to verify all supplied information and check with corresponding credit bureaus. I understand that this is an application only, which must be approved by the marina's home office prior to commencement of any licensed use of the marina's property. By submitting this form I agree to the terms and conditions of the License Agreement provided by Yacht Haven Marina. This form is not a guarantee of agreement but only an application for approval. © 2010 Yacht Haven, Inc.