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Online Mooring - Web-Based Harbor Management and Marina Management Software for Municipalities, Marinas, Yacht Clubs
Town of Middletown, RI
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You are here:  Pre Application  >  Application Form Page Help  >  Application Completion

Instructions

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

Provider Phone
401.846.1144 x7076

Application

Reference Number
VAESGJHZ
Permit Status
Unknown
Application Phase
Other Public Access
Application Type
Mooring Permit
Permit Type
Application Comments

Applicant

Last Name
First Name
Middle Name
Suffix
 
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Home Phone (Winter)
Home Phone
Work Phone
Mobile Phone
Email Address
 
Additional Information
Emergency Contact Name
Emergency Contact Phone

Vessel

Length (ft)
 feet
 
 inches
 
Vessel Photo(s)
(Maximum file size=4MB)

Wait List

Wait List Selection
List Name
Mooring

Berth

 
Location
Location on Application
Latitude
Degrees   Minutes   Seconds 
Show/Hide Map Get current location from browser, if possible.  If you have an attached GPS device, those coordinates will be used.  If you are using a cell phone, your position will be triangulated from the nearest cell towers.  Otherwise, an estimated location will be used based on your IP address.
Longitude
Degrees   Minutes   Seconds 

Acceptance

Terms and Conditions All information I am providing is correct to the best of my knowledge.

I have read and understand the Online Mooring User Terms and Conditions
Signature
Date
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Copyright Online Mooring LLC, 2007-2018 Terms Of Use Version=2017.9.6678.13798