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View Lost and Found Pets
View Pets for Adoption
Assessor
Assessment Roll
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Make a Reservation
Accessory Apartment - House Rental Search
Renew Your Rental License
Building Permit Renewal
Economic Development
Business Expo Payment
Job Fair Payment
Fire Prevention
Commercial Property Registration
Online Payments
Highway
Family Pet Walk
Tree Inspection Request
Report Traffic Safety Problem
Holiday Light Spectacular
Housing
Apply for Home Repairs
ReGeneration Summer Camp
MLK Luncheon
Law
Report a Housing Related Issue
Report a Vacant Home
Online Records Request
Parking Violations
View / Pay Parking Ticket Online
Parks
Register Your Baseball Team
Parking Sticker
Non-Resident Parking Stickers
Personnel
Apply for a Seasonal Job
Planning Department
View Historic Districts / Landmarks Information
View Zoning Information
Public Information
Get Channel 18 Cable Schedule
View GIS Maps
Watch Channel 18 On Demand
Purchasing
Bids and RFPs
Receiver of Taxes
Tax Portal
Recycling and Garbage
Find Glass Recycling Locations
View Garbage Pickup Days
View Garbage Pickup Days on a Map
Great Brookhaven Clean Up Signup
Request a Paper Recycling Bin
Senior Citizens
Apply for Transportation Services
Town Clerk
Apply for a Dog License
Marina Wait List Application
Obtain Marriage, Birth, and Death Certificates Online
View Marina Wait List
Marriage License Application
Confirmation
Vehicle Control
Report an Abandoned Vehicle on a Town Road
Women's Services
Sign Up for Our Women's Conference and Expo
Submit a Nomination for Our Women's Recognition Awards
View Women's Referral Agencies
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Request to Join Our Youth Board
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Home
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Marina Wait List Application
MARINA WAIT LIST APPLICATION
Please use the form below to place your name on the Town of Brookhaven’s Marina Wait List.
A Non-Refundable Administrative Fee of $25 Per Marina is Required.
The available Marinas are:
Mount Sinai
Port Jefferson
Corey Creek
Forge River
You must be a Resident of the Town of Brookhaven to be Placed on the Marina Wait List.
Please contact our
Town Clerk's Office
for more information at 631-451-9101.
MARINA SELECTION(S)
Marina – multiple marinas may be selected
*
Mount Sinai
Port Jefferson
Corey Creek
Forge River
BOAT OWNER'S INFORMATION
First Name
*
Last Name
*
Address
*
City
*
State
*
Zip
*
Different Mailing Address?
Primary Phone Number
*
###-###-####
Secondary Phone Number
###-###-####
Email Address
*
A receipt for this transaction and Town correspondence will be sent to this email address
Date of Birth
*
You must be 16 years or older to apply
I hereby acknowledge that I must notify the Town Clerk’s office in writing of changes to my contact information, including my phone number, address, email
*
By entering my full name in the box below, I attest, under penalty of perjury, that the information provided on the within Application to be placed on the Marina Wait List is true, that I am the person whose name and information appears on the within form. I further acknowledge that my electronic signature is the legally binding equivalent to my handwritten signature.
*
please enter your full name
BOAT INFORMATION
Length of Boat
*
Please note: Boats more than 40 feet in length cannot be accommodated.
Width of Boat
*
PAYMENT INFORMATION
Address On File with Your Credit Card Company
*
Billing Zip Code
*
Credit Card
*
Choose Card Type...
VISA
MAST
DISC
AMER
Name on Credit Card
*
Credit Card Number
*
Credit Card CVV2 Verification Code
*
Expiration
*
Choose month...
01
02
03
04
05
06
07
08
09
10
11
12
Choose Year...
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
Prove You Are a Human
*
I acknowledge that I will incur a Convenience Fee of 2.35% of my order total with a minimum fee of $1.50
*
I acknowledge that if I dispute the charge on my credit/debit card, I will incur a $75.00 Administrative Fee.
*
Subtotal:
Credit Card Convenience Fee:
Total Cost:
Subtotal
Credit Card Convenience Fee
Total Cost
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