Rental Application — Huntington Harbour Marina

Name

First Name

Last Name

Email Address

Mobile Phone #

(###)

###

####

Date of Birth

MM

DD

YYYY

Driver's License Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Annual Household Income

$

Desired Check-In Date

MM

DD

YYYY

Rental Type Selection

Vessel Make, Model and Year

Vessel Name

Hull Identification #

CF # / Vessel Identification #

Vessel Propulsion (choose)

Hull Material (choose)

Vessel Use Type

Vessel Hull Material (choose)

Total Length (including all appendages)

Beam (at dock level)

Engine Type

Vessel's Electrical Requirements

Lienholder Name and Contact Info (if applicable)

List of Authorized Users