Guest Reservation Form

Thank you for your interest in Haverstraw Marina. Reservations are placed on a first-come, first-served basis. Please note that there is a surcharge daily for electricity.

Admission to the Swim Club is available for an additional $5.00 per boat per day up to four people ($5.00 each additional person), and need not be pre-paid. The pool is open Memorial Day through Labor Day.

Land transportation can be provided by taxi or arranged directly with any of the local car rental companies. Dogs are welcome, but must be kept on a leash, curbed, walked in designated area, and cleaned up after. Supplies are available in the marina office if needed.

The following information is needed for each boat in your group in order to accurately process your reservation.  Please complete this entire form prior to pressing the "Submit" button. Items marked with an asterisk (*) indicate required fields. 

Email Address: *

Arrival Date: *

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Departure Date: *

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Boat Information

Boat Name: *

Boat Type: * - Select -PowerSail

Make:

Length Over All: *

Beam: *

Draft:

Electrical Requirements: * - Select -Single 30-amp 110-voltSingle 50-amp 220-voltTwin 30-amp 110-voltTwin 50-amp 220-volt

Captain Information

First Name: *

Last Name: *

Address: *

City: *

State: * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming

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