Coolbawn Quay - private marina tipperary, lough derg marina

Berthing Application Form

Please fill out the following form to a apply for berthing at Coolbawn Quay Marina.

Personal Details
Full Name:
Address:
Telephone:
Fax:
Mobile:
Email:
Particulars of Boat
Name of Boat:
Sail/Power:
Dimensions (mtr):	LOA:	Beam:
Draught:
Electricity: Do you require electricity for the duration of your stay?
Insurance: By ticking the box to the below, I confirm that the above boat shall be insured and the Insurance Company and policy number shall be notified to Coolbawn Quay before occupancy.
Deposit: A non-refundable deposit of 10% is required with your application. Please either telephone Coolbawn Quay on 067 28158 to make a credit card payment, or forward a cheque to Coolbawn Quay Lakeshore Spa, Coolbawn, Nenagh, Co Tipperary.
Declaration: I, the above named applicant, request Coolbawn Quay Marina to grant me a Berthing Licence. I agree to be bound by the Marina Terms & Conditions, which are available on request, and understand that Coolbawn Quay reserves the right to take into account the general suitability of my boat for a particular berth before issuing such Berthing Licence and its decision in this matter shall be final. I confirm that the above boat shall be insured. The Insurance Company and Policy Number shall be notified to Coolawn Quay before occupancy.
Please note: Applicants will be requested to sign the above declaration on arrival at Coolbawn Quay.