Drystack Registration Form Dry Stack Interest - Registration Form Thank you for your interest in our Dry Stack facilities. Please complete this form with as much information as you can to assist us in determining the suitability of your vessel for Dry Storage - one of our friendly staff will then contact you to discuss your registration & advise of availability. You can also call us anytime (03) 5258 5459. Applicants Name* First Last Primary Phone*Alternative PhoneEmail* Vessel DetailsI would be interested in a Dry Stack position from:Length Overall (Measurement from Bow to Stern inc motor)*metresPlease enter a value between 6 and 10.Height (Measurement from leg of Motor to top of canopy or cabin)*metresPlease enter a value between 2 and 5.Beam*metresDesign & Model*YearWeight*tonnesType of Construction*AluminiumFibreglassConcreteCompositeSteelWoodPower*InboardOutboardSingleSterndriveTwinVessel ImagesIf you have an image of your vessel please upload it here to assist us in allocating the most suitable dry storage position for you Drop files here or Accepted file types: jpg, jpeg, png, gif. Insurance*I certify that I have a minimum of $10 million public liability insurance for the above vessel and a current certificate of currency is attached below. I Certify Date*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PhoneThis field is for validation purposes and should be left unchanged.