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EPIRB Hire Booking Form
(
Please complete all fields below
)
Personal Details
Name:
Address:
Post Code:
Phone Number:
Mobile Number:
Fax Number:
Email Address:
Boat Details
Boat Name:
Location:
EPIRB Hiring Details
Period of hire:
From:
To:
Collection
Delivery
Collect from/deliver to:
Vessel Information
Registration Number:
Home Port:
Power:
Vessel Type:
Length:
Gross Tonnage:
Crew: (max)
Passengers: (max)
Colours:
Hull:
Superstructure:
No. of masts:
MMSI:
Emergency Contact Details
24 hour contact #1
Name:
Telephone Number:
Mobile Number:
24 hour contact #2
Name:
Telephone Number:
Mobile Number:
24 hour contact #3
Name:
Telephone Number:
Mobile Number:
Mayday Marine
| 15 Fairway Business Centre, Airport Service Road, Portsmouth, Hampshire, PO3 5NU
Opening Times Mon to Thursday 9am to 5pm, Friday 9am to 3pm, Saturday 9am to 1145am Lunch Hour 1pm to 2 pm
www.liferaftsuk.co.uk
|
info@maydaymarine.co.uk
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