Please complete using block capitals and return to:
Caernarfon Harbour Trust, Harbour Office, Slate Quay, Caernarfon, Gwynedd, LL55 2PB
A deposit of £10 is required for your name to be included on the waiting list.
| Applicant's Details | ||||
| Full Name | ||||
| Address | ||||
| Postcode | ||||
| Telephone | Home | Work | ||
| Particulars of the Vessel | ||||||
| Name of Vessel | ||||||
| Present Location | ||||||
| Type/Make of Vessel | ||||||
| Dimensions(metres) | L.O.A. | Beam | Draft | |||
| Hull/Keel Form | ||||||
| Purpose of Vessel | Private | Charter | Angling Parties | |||
| Insurance Cover | ||||||
| Insurance Company | ||||||
| Required Mooring Location | ||||||
| Mooring Required | From | To | ||||
| Signed | Date |