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Chile
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Cook Islands
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11
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14
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20
21
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24
25
26
27
28
29
30
31
Month
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09
10
11
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Year
1918
1919
1920
1921
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1924
1925
1926
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1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
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LLC Information Form
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Bulgaria
Burkina Faso
Burundi
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Cameroon
Canada
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Central African Republic
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Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
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Cote D'Ivoire
Croatia
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Dominican Republic
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El Salvador
Equatorial Guinea
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Ethiopia
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Faroe Islands
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Finland
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French Polynesia
French Southern Territories
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Gambia
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Ghana
Gibraltar
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Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
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Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
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Hungary
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Iraq
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Italy
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Korea, Republic of
Kosovo
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Lao People's Democratic Republic
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Lesotho
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Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
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Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
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Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St Barth
St Croix
St Maarten
St Martin
St Thomas
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
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Turkey
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Ukraine
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United States Minor Outlying Islands
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Virgin Islands, U.s.
Wallis and Futuna
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Address
City
MMSI Details
Please supply all your equipment in the box below: (note: if you have an EPIRB we need to know the 15 character code provided by the EPIRB manufacture)
EPIRB
Gross tonnage
VESSEL TYPE
AB = Air Boat
AS = Auxiliary Sail
CM = Cabin Motorboat
HB = Houseboat
IN = Inflatable
OM = Open Motorboat
OT = Other
PB = Pontoon Boat
PW = Personal Watercraft
Beacon Manufacture
Beacon Serial Number
Beacon Type
Hex ID
Equipment 1
Equipment 2
Equipment 3
Add more equipment
The maximum amount of passengers are allowed on the boat
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15