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Name(s)................................................................................................................................................... ............................................................................................................................................................... ............................................................................................................................................................... Name of Boat: .............................................................................. Reg No. of Boat: .................................
Service
Requested (delete as
appropriate): GOLD
(£120 or £96 for 12 months) Agreed Date of commencement ...................................................... I
have read and agree to be bound by the conditions detailed within the
website www.mailbridge.co.uk.
I understand the service fee will be £................. I understand that the 'balancing fee' will be £................... Totalling
£................... which I enclose (or will arrange by standing order -
Specify which) .........................................
(Print Name under) Signed .................................................................................. Dated ....................................... (Print Name under)
Signed
..................................................................................
Dated .......................................
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| For other Living aboard advice visit www.smscharter.co.uk | ||||||