COVID - 19
Due to the recent outbreak of the Covid-19 Virus, we will not be accepting any OVERNIGHT bookings until further notice.
COVID - 19
Due to the recent outbreak of the Covid-19 Virus, we will not be accepting any OVERNIGHT bookings until further notice.
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Wyndham Harbour
Haul Out Request form
Please Complete The following form to request a haulout.
A team Member will be in touch via email to confirm/organise further.
Name Of Applicant
*
First
Last
Name of Vessel Owner (If Not Applicant)
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Phone
*
Email
*
Emergency Contact Details
*
First
Last
Phone
*
Preferred Haulout Date (Wednesday to Friday preferred)
*
DD slash MM slash YYYY
How long are you estimating the vessel will be on the hardstand?
*
Additional marine services required:
Outside Maintenance Bay
Undercover Maintenance Bay
Pressure Wash Underneath Vessel
Hire of Pressure Wash Machine
Forklift and Operator
Antifoul
Please tick ALL applicable
Vessel Details
Vessel Name
Vessel Make
*
Vessel Model
*
Registration
*
Year
Fuel
ULP
Diesel
Vessel Length - Overall (LOA)
*
Vessel Beam (meters/feet)
*
Draft (meters/feet)
*
Vessel Weight (tonnes)
*
Motor Make
Motor HP
Motor Year
Typer Of Construction (hull)
*
Fibreglass
Wood
Aluminium
Steel
Other
Power
*
Inboard
Sterndrive
Outboard
Number Of Engines
*
The Vessel Is Fitted With:
Fire System
LPG Bottles Onboard
Sewage Holding Tanks
Emergency Bilge Alarm
Security System
Please tick ALL applicable
I confirm that I have a minimum of $10 million public liability insurance for the above vessel and have attached a current certificate of insurance below.
*
Yes
No
Attach A Current Certificate Of Insurance
Max. file size: 50 MB.
Consent To Terms And Conditions
*
I Agree
I Do Not Agree
All Haul Outs are subject to availability and are weather permitted. By submiting this form, you agree to abide by all marina and hardstand rules and regulations. You agree that all Fees are payable to the marina office prior to re launching the vessel. All Haul Outs will be confirmed via email.
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*
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Comments
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FOR YOUR CONVENIENCE YOU CAN PAY YOUR MARINA ACCOUNT RIGHT HERE
Invoice Number ( if none, use berth no. )
Surname
*
Berth No.
*
Amount to pay
*
Credit Card
*
Card Details
Cardholder Name
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