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Instructions

Please submit this form using any of the contact methods provided below.

Instructions
Provider Name
Town of Rockport
Provider Mailing Address
Attn: Town Clerk's Office
101 Main Street
Rockport, ME 04856
Provider Phone
207-236-9648
Provider FAX
207-230-0112
Provider Email
aleonard@rockportmaine.gov

Application

Reference Number
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Usage Type

Applicant

Choose a Member
First Name
Middle Name
Last Name
Suffix
Gender
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Use Same Address Below
Local Street Number
Physical Street
Physical City
Physical State
Physical ZIP
Email Address
Additional Information
Applicant Comments
Membership Start Date
 
Membership End Date
 
Resident?
Please circle one of the following:

N

Y

Taxpayer?
Co-Applicant

Berth

Choose a Berth
Berth Number
Berth Type
Please circle one of the following:

Dinghy

Float

Mooring

Tie Off

Winter Storage

Berth Subtype

Attachments

Attach a paper copy of each attachment listed below:
Boat Registration
Expiration Date
 
Excise Tax Receipt *
Expiration Date
 

Acceptance

Terms and Conditions
The town of Rockport is not responsible for lost, stolen or damaged property on moorings, racks or winter storage or any town property.

I have read and understand the Online Mooring User Terms and Conditions
Signature
Date