Victoria Dock Application Form [Fields marked * are required and must not be left blank.] Personal Details Full Name * Address * Post Code * Your Email * Telephone No * Mobile No Vessel Details Name of Vessel * Present Location Type/Make of Boat * Length (LOA) (m) * Beam (m) * Draft (m) * Weight of Vessel * Colour of Hull * Keel Type * ---LongSingleFinBilgeCatamaranTrimaranCentreboardOther Keel: Other British Registry / Small Ships Reg. Number Electricity if available YesNo Owners Car Registration No(s) * Berthing Required From * To * Insurance Details Please tick to certify that your vessel is seaworthy and that you have a minimum third party insurance policy of not less than £1 Million. Insurance Company * Policy Number * Comments/Notes Terms and Conditions: I, the above named applicant, agree to be bound by the waiting list Terms and Conditions. Declaration: I, the above named applicant, request the Caernarfon Harbour Trust (hereafter called the ‘Trust’) to grant me a berth at the Victoria Dock, Caernarfon. I agree to be bound by the Conditions of Berthing at the Victoria Dock. I also understand that the Trust reserves the right to allocate berths according to the availability and the general suitability of my vessel for a particular berth. The above information is correct to the best of my knowledge, and I undertake to inform the Trust immediately of any changes. Please tick to confirm acceptance of the above: Upon receipt of this form you will be issued with an invoice for £100.00 (this will be offset against your first invoice). Once this has been received (along with a copy of your insurance certificate) your application will be processed.