Yacht Registration Form

Yacht Shore Premium services Registration Form

Please fill out the form. Once you do that an agent authorisation form will be generated which we would like you to print, Sign, Stamp and hand over to a member of our team.
Yacht Details
Yacht Name*
Yacht Brand
Yacht Model*
Yacht Type*
Yacht Use*
Length Overall*
meters
Beam Overall*
meters
Draught*
meters
Yacht Tonnage*
Flag*
Homeport*
IMO or Official Number*

Captains Details
Captains Name and Surname*

First NameLast Name
Captains Email*
example@example.com
Captains Phone*
Include country code
Captains Nationality*
Captains Passport Number*

Owners Details
Yacht Owned by*

CompanyIndividual
Owners Full Name

PrefixFirst NameLast Name
Owning Company Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Yacht Documents
Yacht Registration*

Upload the Yacht registration certificate
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Yacht Insurance*

Upload the Yachts Insurance
Cancelof
Captains Power of attorney*

Upload the Captains Power of attorney
Cancelof
Crew and Passenger List*

Upload the Crew and Guest List
Cancelof
Other Documents

Upload other documents that might be required
Cancelof

Payment Details
Person in charge of Payment (If other than captain)

First NameLast Name
Email
example@example.com
Billing address if (Different than owner)
Berthing Expenses will be paid by:*

Yacht Shore Premium servicesDirectly by the owner/captain
Yacht Shore Invoice will be paid by:*

By SwiftBy credit cardCash
Should be Empty: