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Gifford Street Dinghy Rack
Port of New Bedford Mooring Rules & Regulations
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Instructions
Please complete the application, then click the "Next" button below
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Instructions
Provider Name
New Bedford Port Authority
Provider Mailing Address
123 MacArthur Drive
New Bedford, MA 02740
Provider Phone
508-979-1456
Provider Email
gregg.pupecki@newbedford-ma.gov
Applicant
First Name
Last Name
Contact Information
Primary Phone
Alternate Phone Number
Mobile Phone
Work Phone
Email Address
Emergency Contact
Emergency Contact Name
Emergency Contact Home Phone
Emergency Contact Email
Additional Information
Emergency Contact Address
Vessel
Vessel Name
Hull ID
Vessel Type
Power
Sail
Other
Size
Length
feet
inches
Draft
feet
inches
Characteristics
Vessel Color
Engine
Engine Make
Dinghy
Dinghy Reg or Doc #
Insurance
Insurer Name
Insurer Phone
Insurer Policy Number
Accessories
MSD
Other
Insurance Expiration Date
Berth
Mooring Type
Commercial
Recreational
Transient
Primary Tackle
Block Type
Cast steel
Counter weight
Helix
Mushroom
Pyramid
Wheel
Anchor Weight
Chain Diameter
Chain Length
feet
inches
Top Chain Diameter
Pennant Diameter
Pennant Length
feet
inches
Attachments
Please provide attachments below, preferably in a PDF or image format. To convert a paper document to electronic format, take a photo of the document.
If you can't provide an electronic copy, you can submit a paper copy offline.
If we have a current copy on file, you will see a link to it. Update the attachment if it has changed, or if requested.
Proof of Vessel Insurance
*
Filename
(Maximum file size=10MB)
Inspection Report
Filename
(Maximum file size=10MB)
Acceptance
Terms and Conditions
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