Berth licence application form

To be completed by applicants for a berth at Te Ana Marina. Applicants renting a berth for less than three months (or such other period as LPC may agree) are regarded as casual and must complete LPC’s casual berth rental agreement. Applicants wishing to use a berth for longer than three months must complete this application.

Applicant details

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Full name of proposed licensee *

Individual(s)

Company

Trust

Partnership

Other *

* Please specify

Full name of proposed licensee *

Phone *

Email *

Contact name *

Commencement Date (dd/mm/yyyy) *

Vessel details

Vessel name

Make and type (yacht / launch / multihull)

Overall length (LOA)* (m)

Beam

Draught

Colour

Displacement

VHF call sign

Registration number

* Overall length for this purpose includes hull length at the vessel’s longest point as well as any fittings or attachments (including pulpits, platforms, bowsprit, engines, rudders and dinghies). All must fit within the berth dimensions so it is imperative the information provided above is accurate