New Moorage Application – Harbour Authority of Cortes Island

Submitting a moorage request is not a reservation, and does not guarantee space at the dock.

Please wait until you hear back from HACI staff before you bring your vessel to the dock. Payment must be received in full prior to mooring.

Application for a new contract:

Vessel Name(Required)

Length in Feet(Required)

Vessel Make or Description(Required)

Colour(s)(Required)

Year Built(Required)

Describe the insurance on your vessel if it is over 18 feet. We may need to request a copy of your policy.(Required)

Name of Licensee (person signing below)(Required)

Phone(Required)

Email for Licensee(Required)

TC License or Registration

VRN # (CFV#)

Date Starting(Required)

Date you’d like to start moorage

Date Departing(Required)

Date you plan to leave our dock

Dock Preferences – i.e. Mansons, Cortes Bay, etc. Enter first and second choices(Required)

Tell us about how you'd like to use our docks – aquaculture, type of commercial, frequency of use, etc

Address for Licensee

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Registered Owner or As Above

Phone for Vessel Owner

Address for Vessel Owner (or put same as above)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Emergency Contact(Required)

Phone for Emergency Contact(Required)

Signature – please type your name again to sign our moorage agreement(Required)

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