Charter Captains Info and Signup Form

Please fill out the form below in its entierty

Benefits of separate cash-accounts (cash-accounts are not charge accounts)

● You will be able to track your purchases and expenses
● Rewards card automatically attached to your cash-account
● Tenders/payments can be made by cash, debit cards, checks, and credit cards
● Receipts for each purchase will be automatically emailed - unless changed by the user

We will request updates from participants regarding their status and documents - such as licenses and insurance information.

Additionally, we keep you updated on opportunities for special promotions and projects that may be of value to you.

All updated information should be sent to AR@sunshineace.com with Captain’s Program in the subject line.

Name*

First NameLast Name

Business Name*

What is your current Sunshine account number?

Captain License Number

Captain License Expiration Date

Date

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

ACE Reward Card Number

card# will be linked to your cash-account for automatic reward’s points assignment

Please upload a current copy of your Coast Guard License - Required*

Signature*