EN B2C Formularz Zamówienia Usługi

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Service Order Form

By filling in the form below, you place an order for the service of your choice. Check that the data contained in the form is consistent with reality. Once you have submitted the form, you will receive a confirmation email.

Choose a service *

Choose from services below.

Yacht Registration Polish Flag up to 24 m

Yacht Registration Polish Flag up to 24 m + MMSI Polish Radio Licence

MMSI Polish Radio Licence

Changes in Registry (new owner, new engine, new name etc)

De-Registration (cancellation of Flag registration)

Excerpt from Registry

Speedy Service

Your Contact Email *

Contact Phone *

Numer telefonu będzie służył nam do powiadamiania Cię o statusie zamówienia

Last Name

First Name

CUSTOMER / BOAT OWNER Company name (if owned by company)

jeśli właścicielem ma być firma

CUSTOMER / BOAT OWNER Street address with number *

City and Postal Code *

Package sending address, if different?

I hereby consent to the processing of my personal data contained in the application form by MMORSKA sp. z o.o. with its registered office in Gdynia, Hryniewickiego 10/29 lok.110, for the purposes of providing services.

I understand that providing data is voluntary, but necessary to perform the services. I am aware that I have the right to access my data and correct it. I have been informed of the right to request the administrator to access my personal data, rectify it, delete it or limit its processing, as well as the right to object to the processing and the right to transfer data.

The administrator of your personal data is MMORSKA sp. z o.o. The data will be stored for the period necessary to provide services and may be made available to cooperating entities only for purposes related to the implementation of the above services.

I also agree to be contacted by MMORSKA sp. z o.o., using the means of communication provided by me (including telephone and e-mail), for purposes related to the provision of the service

I accept the above content of the GDPR

I confirm that I have read the Terms of Service

BOAT SPECIFICATION

Boat Name *

The boat is used as *

Waters *

Boat Type *

HomePort

Manufacturer *

Model/make of the boat *

Production Year *

Hull Number

Ownership Type

Length (LOA) *

Beam (BOA) *

Draft (from waterline) *

Engine Brand

Engine(s) Total power in kW *

Mounting *

Engine serial number 1 *

Engine serial number 2

Engine serial number 3

Fuel *

Documents' Upload Area:

- signed power of attorney by customer (download)

- filled and signed owner’s statement (download)

File with a photo/scan of the owner's ID card or passport + company documents,
CE declaration of conformity, if available.
Purchase agreement or invoice,
File with a photo of the hull number - if assigned,
File with a photo of the engine number(s).

Files

Choose a file or drag it here

Date *

Text area

additional notes

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