


| Phone: 340.774.5630 Fax Form To: 340.776.3074 |
| VICL INFO: |
| Chartering Excellence Since 1968 |
| Print, complete and fax or mail to: Virgin Islands CharterYacht League 3801 Crown Bay, Ste. 203 St. Thomas, VI 00802 Ph: 800-424-2061 340-774-3944 info@vicl.org |
| Application for VICL Yacht Membership January 1, 2008-December 31, 2008 |
| Name of Vessel: _______________________________________________________________________________ Name of Master: _______________________________________________________________________________ Cook/Chef: _______________________________________________________________________________ Local Address of Master: ______________________________________________________________________________ _____________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Phone: _________________________Email: ___________________________________________ Contact and Non-Contact Websites: ________________________________________________________________________________ Vessel’s Country of Registry: _______________________________________________________________________________ Power Monohull or Multihull (circle one) Boat Manufacturer: ______________________________ Length: _______________ Beam: _____________ Draft: __________ Maximum Number of Guests: _______________ ____Term Charters: ___ Day Sail: ____ Fishing Trips: _____ Domestic Travel Only: ______ International Travel: ______ Clearinghouse: _______________________________________________________________________________ I, _______________________________________ Master of the yacht _______________________ ____________________________________, do apply for membership in the VIRGIN ISLANDS CHARTERYACHT LEAGUE to lend my support to further the interest of crewed charter yachts in the Virgin Islands. I will help the VICL in any capacity I am able, and agree to comply with USCG safety standards of operating in the USVI. I promise to uphold the standards of yacht charter operation set forth by VICL. Applicant acknowledges that VICL membership is subject to Board of Governors approval and may be revoked or denied for failure to comply or violations of VICL policies, terms and conditions. I agree as a new member of VICL to make my yacht available for viewing by VICL as a condition of membership. I agree, as an existing member of VICL that the VICL Board of Governors, upon the receipt of continued written complaints, to an inspection of my yacht as a condition for continued membership. I understand that I MUST INCLUDE WITH THIS APPLICATION: 1. My annual dues for the membership year via check or credit card authorization 2. Copy of ship’s commercial registration document from the V.I Department of Planning & Natural Resources, if applicable. 3. Copy of my USCG Captain’s license or other nation’s appropriate licensing document. 4. Copy of current STCW 95 Certificate 5. Copy of current liability insurance policy stating the yacht has insurance coverage of at least 300 thousand dollars. 6. Yacht brochure advertising Caribbean charter I authorize any insurance carrier that I may be insured with by virtue of my VICL membership to release to VICL all information regarding said insurance and any claims I may make against it. Applicant’s Signature:__________________________________Date: ________________________ Name of Owner (if different than Captain): _______________________________________________________________________________ Address of Owner: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Telephone of Owner: _______________________________________________________________________________ Email Address: _______________________________________________________________________________ CREDIT CARD AUTHORIZATION I, ______________________________________________, (print name) hereby authorize Flagship, Inc. to charge my credit card account (TYPE OF CARD _____________ ) as follows: Account Number __________________________________________________________________ Expiration Date __________________________________________________________________ V-code (three digit code on the back of the card, following the account number) _________________ Street Address of Cardholder ________________________________________________________ Zip Code of Cardholder ____________________________________________________________ Amount to charge _________________________________________________________________ _______________________________________________________________________________ Signature Date Approved By: (for office use only) Board Member Signature: Vessel Name: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ VICL Membership Card Number __________________ AND/OR Check Number: _________ |
| Fee Schedule: Term Charter Boats: 2 Passengers $125.00 4 Passengers $200.00 6 Passengers $300.00 8 Passengers $400.00 Day Boats $125.00 |