VIPCA Member Broker Registration Form - 2025 Charter Yacht Show

VIPCA Member Broker Registration Form - 2025 Charter Yacht Show

This form is only for VIPCA members. Please complete one form per broker. A link to this form can be found at www.usviyachtshow.org/broker-information/ Non VIPCA member brokers and additional guests can register using the form at https://form.jotform.com/251414115365853
Fill out all details as accurately as possibly, the information entered will be used to create your name badge with a QR code.
VICPA Membership Number
First Name
Last Name
Company name
Company website
Email
example@example.com
Cell phone number
Please enter a valid phone number.
Number of years in business as a broker
Have you attended the USVI Charter Yacht Show previously

YesNo
Are you a VIPCA Member

YesNo
Alternative emergency phone number
Please enter a valid phone number.
If you would like to register additional non VIPCA member brokers or guests, please click here or go to www.usviyachtshow.org and follow the registration for non-members and guests.
Should be Empty: