Dock Space Application – Rosston Eddy Marina

Thank you for your interest in keeping your boat at Rosston Eddy Marina. Please complete and submit this application. Your application will be processed, and pending space availability, a contract will be sent to you.

Applicant Information

First Name
Last Name
Street Address
City
State
ZIP Code
Telephone
E-Mail Address

Boat Information

Make
Model
Model Year
Length Beam

Boat’s Name
Registration Number
Hull Identification Number

Propulsion
Electrical Requirements

Insurance Information

Insuring Company
Policy Number
Liability Coverage Amount

Insurance Agency Information

Agent Name
Address
State
ZIP Code
Telephone

Additional Information

By submitting this application, I am certifying that answers given herein are true and complete to the best of my knowledge. I authorize Rosston Eddy Marina (or any duly authorized agents acting on their behalf) to make such investigations and inquiries of my personal, employment, financial history, and other related matters as may be necessary in arriving at any slip rental decision. I hereby release employers, schools, or persons from all liability in responding to inquiries in connection with my application. In the event of acceptance, I understand that false or misleading information given in my application may result in eviction. I also understand that I am required to abide by all rules and regulations of the Dockage License Agreement as well as the rules and regulations as set forth by the management of Rosston Eddy Marina. Additionally, I agree to carry insurance for the duration of my lease with liability coverage meeting or exceeding the minimum requirement of $300,000.