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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

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  • Instructions
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Instructions

Please complete the application, then click the "Save and Continue" button below. For help on any field, move the mouse over the field name.

Provider Mailing Address
Attn: Lisa Sisson
123 Valley Road
Middletown, RI 02842
Provider Phone
401.846.1144 x7076
Provider Email
lsisson@middletownri.com

Application

Reference Number
TQVLNIGM
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Kayak Rack Permit
Application Comments

Applicant

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

Wait List

Wait List Selection
List Name
Kayak Rack

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


I have read and accept these terms
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