Form Center

2. Type*
   -- Select One --DockageMooring
4. Arrival Date*
   Arrival Date
6. Departure Date*
   Departure Date
   Latest departure time: 11 a.m.
10. Vessel Information
12. Name of Vessel*
14. Vessel Length (Feet, Inches), Include Bow Sprit & Extended Stern / Dinghy Davits*
16. Vessel Beam (Feet)*
18. Vessel Draft (Feet)*
20. Electrical Requirements*
    -- Select One --1 by 30 amp2 by 30 amp1 by 50 amp2 by 50 amp1 by 100 amp - single2 by 100 amp - single1 by 100 amp - 3-phase2 by 100 amp - 3-phaseNo preference / On mooring
24. Customer Information
26. First Name*
28. Middle Initial
30. Last Name*
32. Street Address*
34. Unit/Suite
36. City*
37. State*
38. Zip*
40. Area Code*
41. Phone Number*
43. Email Address*
45. Electronic Signature Agreement

    By checking box the sender is agreeing to the following statement: "I understand that internet reservation requests are subject to availability. My request may be declined. I do not have a reservation until I receive a written confirmation email from the St. Augustine Municipal Marina."

    1. I agree.
47. Electronic Signature
Leave This Blank:


49. 1. Receive an email copy of this form.
50. Email address

    This field is not part of the form submission.

51. Submit

* indicates a required field