Make and H. P:

 

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Type of Boat:

 

Your Details.

Your Name:

Telephone (h):

 

Telephone (w):

 

Mobile:

 

Fax:

 

Email Address:

 

House Name/No.:

 

Street:

 

Town:

 

County:

 

Country:

 

Postcode (Zip):

 

Date Mooring From:

 

Date Mooring To:


Second Choice:


Second Choice:

 

O/A Length

of Vessel

:

Year of Manufacture:

 

 

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Insurance Details
Ensure your equipment is insured for the full value and that there is at least £250,000 third party liability cover in force. If you do not complete this part of the form you will be asked to produce evidence of cover prior to launching.

Insurer:

Boat Colour:

 

Mooring Dates

Hull Construction:

 

Policy Number

Any Other Equip?:

 

Engine Type:

 

Boat Details

I agree the booking conditions

Engine No(s):

 

Conditions

Vehicle Make,

Model, Reg No:

 

 

No. of Engines,

 

?

 

Boat Name:

 

 

Builders Name:

 

   Trailer Description:

 

Self  Launch?:

 

Comments

Date Policy Valid To:

Loch Lomond Lodges
Mooring Request Form