Berth Request and Assignment Record Date Date Format: MM slash DD slash YYYY Vessel*IMO#*Carrier*Flag*Destinations*Length Overall*Deadweight*Beam Width*Request is made this date for the vessel named above, under rules regulations, term, conditions, charges, and provisions for the Port of Port Arthur Tariff.To Arrive From:*Arrival Date* Date Format: MM slash DD slash YYYY Vessel is due to Sail For:*Departure Date* Date Format: MM slash DD slash YYYY We expect to begin receiving outbound cargo on:* Date Format: MM slash DD slash YYYY **Note: Agent is responsible for all payments, unless submitted in writing, responsible POC and billing information. (i.e. moor, unmoor, dockage, wharfage, security, Seaman Ctr, etc.)PORT WILL BE PROMPTLY NOTIFIED ON CHANGES FOR THE VESSEL OWNERSAgency / Owner*Title*Date Date Format: MM slash DD slash YYYY Send Confirmation To This Email* Also Send Receipt To This Email Agent / Owner Signature*Berth Request and Assignment Terms* I agree to these terms.In the event of changes in vessels’ position that alter above dates, it is understood that agent will immediately appraise port thereof. Tentative assignment is made for the convenience of all concerned, but it is not the intention that this assignment be granted preferentially or irrevocably. If vessel fails to occupy berth on assigned date, berth is considered to be vacated and vessel accept re-assignment on basis of berth availability. Conditions precedent to assignment and acceptance of berth are stipulated above.CAPTCHANameThis field is for validation purposes and should be left unchanged. Download Berth Request and Assignment Record | PDF
