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Haul Out Request

Haul Out Request

Customer Details
Name*
First Last
Agent
Company Name
Phone*
Email*
Boat Name*
Vessel*
- Yacht/launch
- Multi-hull
Length overall*
(in metres)
LOA = LENGTH OVERALL (includes all appendages fore & aft)
Beam*
(in metres)
Draft*
(in metres)
Weight*
(in kg)
Have you sent Pine Harbour a copy of your current proof of insurance?*
- Yes
- No
Upload a copy of your current proof of insurance*
Drop files here or
Do you own or rent a berth at Pine Harbour?*
- Yes
- No
Own or rent
- Own
- Rent
Berth No.*
New Customer / Visitor Information
Address*
Street Address City Suburb Post code
Berthed or moored at
Hull material
Service Required
Services*
- Lift wash immediate return (1/2 hour)
- Lift hold return (1 hour)
- Lift out to hardstand
- Lift in to water
- Lift off transporter
- Lift on to transporter
- Waterblast
- Lift into tenant shed
- Towage A to G pier within Pine Harbour
- Extra time in Travelift
Please note all vessels lifted into hardstand will require a waterblast
Will you be doing any of the work below:
- Anti fouling
- Exterior sanding
- Reverse in for shaft removal
- Bead/soda blasting
- Hiab/crane
- Hot works/welding
- Scaffold/tenting
- Spray Painting
Other
Vessel last hauled out/underwater cleaned
Date Format: DD slash MM slash YYYY
Complete H&S Induction*
- Yes
- No
H&S Form
Hardstand period (Request only)*
Date Format: DD slash MM slash YYYY

From
From*
- Flexible
- Early AM
- Late AM
- Early PM
- Late PM
Hardstand period (Request only)*
Date Format: DD slash MM slash YYYY

To
To*
- Flexible
- Early AM
- Late AM
- Early PM
- Late PM
Consent*
I acknowledge receipt of a copy of the Hardstand terms & conditions and agree to be bound by such terms. The information collected will be held for the use of Pine Harbour Marina Limited, Pine Harbour Marina Management Limited and Pine Harbour Marine Services Limited.*
Signed on behalf of Vessel Owner*
Date*
Date Format: DD slash MM slash YYYY

Requests are subject to availability and confirmation

office@pineharbour.co.nz
+64 9 536 4720
190 Jack Lachlan Drive, Pine Harbour, Auckland, New Zealand

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