REGISTER YOUR INTEREST

FOR A MARINA BERTH

Name

Address

Phone

Postcode

Email

Berth requirements

Motor boat

Length (metres)

Weight (kilograms)

Yacht

Beam (metres)

Draft (metres)

Storage requirements

Mooring in marina

Hard stand

Storage racks

Thanks for submitting your application.

Please note that your registration of interest does not provide you with a guarantee or right (or priority) to a berth or storage.

PRIVACY & PERSONAL INFORMATION PROTECTION NOTICE
The information on this form is being collected by Shellharbour City Council for the purpose of providing you with a service.

Your personal information will be used by Council staff for the purpose of determining your request.

This completed form will be stored in Council's electronic records management system.

You may apply to Council to access and correct this information.

Please see Council's Privacy Management Plan or contact Council’s Privacy Officer on (02) 4221 6111 for more information.