Berth License Application Form If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. Applicant's Details Address Particulars of your boat Dimensions in metres Commercial Use Intended? YesNo If intended for commercial use, please provide details Electricity Required? NoYesElectricity Meter required for long stay I hereby confirm I have the required Third Party Insurance * Date of Berthing Declaration I, the above named applicant, request Kilrush Maritime Ltd. to grant me a Berthing Licence. I agree to the Terms and Conditions which are displayed on the Marina Premises and which I have received and understand that Kilrush Maritime Ltd. reserves the right to take into account the general suitability of my boat for a particular berth before issuing any such Berthing Licence, and that Kilrush Maritime Ltd.’s decision in this matter shall be final. General Data Protection Regulation Consent In order to comply with the General Data Protection Regulation (GDPR), your consent is required to contact you electronically. Please tick below if you do not consent to being contacted electronically. Please see the Kilrush Maritime Ltd. Data Protection Policy with regard to how the personal information you provide is used, by whom and for what purpose. If you are a human and are seeing this field, please leave it blank. I do not consent to being contacted electronically