THE POOLE YACHT CLUB                           
						
APPLICATION FORM FOR A YACHT HAVEN FINGER BERTH

NAME OF BOAT ________________________________

Please tick:
CATEGORY	     ENGINE	           KEEL	             MANOEUVREABILITY
SAILING VESSEL	      SINGLE	             LONG	               GOOD
MOTOR SAILER	      TWIN	             FIN	                POOR
MOTOR VESSEL*	      INBOARD	             BILGE	               AVERAGE
CATAMARAN	      OUTBOARD             LIFTING	
TRIMARAN	      OUTDRIVES             OTHER
		             PETROL/DIESEL
*Motor Vessel subject to Yard & Haven Committee Approval

MAKE OF BOAT....................................................	NAME PAINTED ON      BOWS/STERN

LENGTH OVERALL (Maximum 40') - This must INCLUDE Bowsprit, Rudder/Outboard Engine, Dinghy                                in Davits, Ladders etc.				_____ft	_____ins.
BEAM (absolute widest point)				_____ft	_____ins.
DRAFT                                                                                                     _____ft 	_____ins.

COLOUR OF HULL..............................	TONNAGE..............	SAIL NO. .....................
TICK FINGER/S REQUIRED:
•	5m finger for boats up to 24ft including all appendages (Deposit required £250.00) 
•	6m finger for boats 24ft 1in up to 29ft including all appendages (Deposit required £300.00)
•	7m finger for boats 29ft 1in up to 33ft including all appendages (Deposit required £350.00)
•	8m finger for boats 33ft 1in up to 38ft 6in including all appendages (Deposit required £400.00)
•	9m finger for boats over 38ft 6in including all appendages (Deposit required £450.00)
•	10m finger for boats over 40ft (Deposit required £500.00)

Owners' Name....................................................	Partners' Name...................................................
Address           ....................................................	Address            ...................................................
                        ....................................................	                         ...................................................
Tel. Home       ...................................................	Tel. Home         .................................................
       Daytime    ..................................................	       Daytime     ................................................

I (and my Partner) am/are Full Members of the Poole Yacht Club.  My (Our) yacht is privately owned and will not be used for any commercial purpose whatsoever. I (We) will provide proof of ownership (e.g. Bill of Sale) as per Haven Bye-Law 4 (d).  My (Our) yacht is and will continue to be fully insured including THIRD PARTY LIABILITY of not less than £2,000,000 at all times.
I (We) agree to abide by the Rules set out for the Yacht Haven users and will make sure that my (Our) crew/guests or a member to whom I (We) may lend the boat are fully aware of and abide by them, and I (We) accept full responsibility should at any time these rules be infringed by them.

Signature (OWNER) ______________________	Signature (PARTNER) _____________________
Date:				Date:
**APPLICANTS MUST BE AWARE THAT THE COMMITTEE WILL NOT ALLOCATE A BERTH IF UPON ARRIVAL INTO THE HAVEN THE BOAT EXCEEDS THE LIMITATIONS OF THE ALLOCATED BERTH. THIS FORM IS ONLY APPLICABLE FOR THE CRAFT STATED.  SHOULD THE INFORMATION CHANGE IN ANY WAY, i.e. CHANGE OF OWNERSHIP, BOAT NAME, BOAT SIZE, YOU ARE REQUIRED TO COMPLETE ANOTHER APPLICATION FORM IN WHICH YOU MUST FURNISH ALL RELEVANT INFORMATION CONCERNING THE CHANGE.,  PLEASE NOTIFY THE OFFICE IMMEDIATELY IF YOU CEASE TO BECOME A BOAT OWNER.		13/02/13