OWNER INFORMATION

Yacht Name: _____________________________________________________________________      

Owner Name: ____________________________________________________________________

Address: ________________________________________________________________________
	
	________________________________________________________________________

Phone Numbers: _________________________________________________________________
_______________________________________________________________________________
Fax Numbers:  __________________________________________________________________
E-mail: _________________________________________________________________________
Corporate Vessel Owner:  __________________________________________________________
Address (if different): ______________________________________________________________
________________________________________________________________________________
Phone: __________________________________________________________________________
Fax: ____________________________________________________________________________
Contact Person (if different from owner):_______________________________________________ 
Phone: __________________________________________________________________________
E-mail: _________________________________________________________________________

OWNER INFORMATION  continued ~

CHARTER CONTRACTS / VESSEL DOCUMENTATION

What name should be used on charter contracts?_________________________________________
What is the port of registry of your yacht? ______________________________Flag ___________

Is the yacht commercially documented? ________________________________________________

US Coast Guard vessel Certificate of Documentation endorsements (US Flag Yachts) -- please check those applicable:  _____Coastwise Trade; _____Registry ( foreign trade) ; _____ Recreation

Does yacht have a MARAD Waiver (US Flag Yachts):  ____________________________________

Will you accept a demise / bareboat contract? __________________________________________

Note:  Demise contracts are mandatory on US Flag vessels that are not endorsed for Coastwise Trade and also all duty paid non-US Flag yachts.

Is the yacht US Duty Paid (non-US flag yachts):  ________________________________________

Is the yacht VAT paid (EU Flag Yachts):  ______________________________________________

EU Commercial Registry?  _________________________________________________________

YACHT INSURANCE

Insurers: ________________________________________________________________________
Dates of coverage: ________________________________________________________________
Areas covered: ___________________________________________________________________
Amount of passenger Liability (P&I):  $________________________________________________
Is the yacht insured for charter:  _____________________________________________________
Deductible:_________________________  Hull Insurance: _______________________________

Scuba liability: ______________________ Water Skis: ___________________________________

Does the yacht's insurance cover to claims against the Charterer? __________________________

Please attach a copy of your current policy.

CONTACT INFORMATION

Phone numbers on board? __________________________________________________________
________________________________________________________________________________
Fax # on board:  __________________________________________________________________
Yacht’s email address: _____________________________________________________________

Captain’s cell #:  _________________________________________________________________
Summer phone number for captain ( if different): _______________________________________

Captain’s email:  _________________________________________________________________

CHARTER FUNDS

Who should receive charter funds (owner, captain, other)? ________________________________

Who should receive APA (Advance Provisioning Allowance), if any?  ________________________

Would you like us to Deposit or Wire transfer to your bank account? ________________________

Bank Name: _____________________________________________________________________

Address of bank:  _________________________________________________________________

ABA # (US Banks Only):  ___________________________________________________________

Swift #:   _______________________________________________________________________

Sort Code:  ______________________________________________________________________

Account Name: ___________________________________________________________________

Account Number: _________________________________________________________________

Mail check to address: _____________________________________________________________

Special instructions: _______________________________________________________________

BROKERAGE INFORMATION

Is this yacht for sale? _______________    Asking Price $ _________________________________
If the yacht is for sale, name of listing broker & company?  ________________________________  
________________________________________________________________________________

Would you like to have a Yacht Broker contact you about listing your yacht for sale?____________

Important note:  Commissions on all confirmed charters are concerned an earned fee.  Should your yacht be sold prior to completion of all confirmed charters, or otherwise default on a confirmed charter, applicable commissions are due to the booking broker & Nicholson Yachts..  Please sign here indicating your understanding of commission terms:  _________________________________

Notes:  __________________________________________________________________________

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