Registration Form - St Barts Yacht Sales

Name*
Email*
Phone
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Nationality*
Birth date*
MM slash DD slash YYYY
Have a Passport?*
- Yes
- No
Licenses*
Total offshore miles*
Total inshore/near coastal days, appr.*
Medical exceptions*
Physical fitness level*
Familiar with electronics/engines?*
- Yes
- No
Additional skills worth noting?
How did you hear about us?*
Name of reference*
Email of reference*
Declaration*
Do you attest that above information is true and accurate to the best of your knowledge?
Date*
MM slash DD slash YYYY
Signature*
Human or Robot?

Chuck, we wanted you to know how fantastic Jean Michel has been with us of recent. He’s really helped us on some issues and we just wanted you to know how grateful we are to you all.

— Lauren and Jeff S.