Application form for a permanent mooring

Please be kind enough to get in touch with me regarding the hire of a permanent mooring in your marina.
 
Attachment  Mr.  Mrs.
Name
First name
Streetname and number
Postcode
Place
Country
Telephone number
Mobile number
E-mail
Type of boat
Year of construction
Name of boat
Length x Width x Depth 
Preferred date of arrival
Preferred mooring
Contact evenings Yes    No
Daytime contact Yes    No
   

With a view to considering the present application.
   
    
   
Nederlands
Engels

De Brink Yachting 'Exclusive Yachtbrokers and Marina'
Zandstraat 9
NL-5331 PG KERKDRIEL
HOLLAND

Tel : ++31(0)418 - 63 30 63
Fax : ++31(0)418 - 63 13 35
E-mail : info@debrinkyachting.nl
Website : www.debrinkyachting.nl

GPS coordinates : 015 45'56"N   005 21'22" E
CoC Rivierenland in Tiel under number : 32097855
De Brink Yachting is a Tradename of
J. Dolman Yachts International B.V.
Contact Afdrukken