BOROUGH OF AVALON

BOROUGH CLERK’S OFFICE

3100 DUNE DRIVE

AVALON, NJ 08202

(609) 967-8200

Application for seasonal dock slip at the Avalon Bay Park Marina, 54th Street and Ocean Drive, Avalon, New Jersey. *Please print or type.*

Rental Period From May 1st to December 1st

Name of Applicant: _______________________ Avalon Address: __________________

Permanent Address: _______________________________________________________

Telephone (daytime number/cell): ___________________________________________

E-mail address:__________________________________________________________

Description of Boat: Make:_______________________ Model: __________________

Registration#: ___________ ________Colors:__________ Beam: Length:______

Description of Motor: Make: __________________ Horsepower: __________________

Type of Motor: Inboard ______ __Outboard _____ __ Inboard/Outboard ____ _

I have read Resolution No. 1-2011 and agree to abide by all rules and regulations governing the Avalon Bay Park Marina.

____________________________________

Signature of Applicant

FOR BOROUGH USE ONLY

Fee Paid: $ ____________ ___ Date Paid: _ ______ __ _____ Dock Slip#: _______

Issuing Agent: ________________________________