Cushing Mooring Application
* Required Information
Applicant Information:      
*First Name: * Last Name:
* Email Address: required information
  or "NONE". Note: all moorings notices are by e-mail.
*Contact Phone:Alternate Phone:
*Street Address: * Town: *State: (2 letters) * Zip Code:

Mailing Street Town: State: (2 letters) Zip Code:

*Mooring Districts:
Vessel Information:
*Name of Vessel Moored
(or FLOAT, GUEST, PRIVATE or RENTAL): Description/Make of Vessel:

Registration Number of Vessel: LOA: HWL:

*Commercial Fishing Use: Yes No
*Is this mooring for a float: Yes No
*Is this mooring a rental: Yes No
Number of Moorings already owned or applied for:  
Mooring Information:
Desired Location: Latitude: Longitude: Depth:
Latitude and Longitude MUST be entered as degrees with decimal minutes i.e NN.NNNNNN or -NN.NNNNNN. If your values are in degrees, minutes and decimal seconds, or any other format, please go to Lat/Long Converter and get the correct format value.
*Mooring Description:
Mooring Aquaculture Site Navigational Marker
Mooring Equipment:Weight:  
Granite Block Concrete Black Kedge or Mushroom Anchor Other (If Other, please describe)
*Marker description:
White Ball Orange Ball Other (Color)
Chain/Wire: Size: Length: