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MARINA WAIT LIST APPLICATION

Town Seal
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)




BOAT OWNER'S INFORMATION











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A receipt for this transaction and Town correspondence will be sent to this email address


You must be 16 years or older to apply



please enter your full name
BOAT INFORMATION



Please note: Boats more than 40 feet in length cannot be accommodated.

PAYMENT INFORMATION










Subtotal:
Credit Card Convenience Fee:
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