OWNER REGISTRATION

Owner Registration

"*" indicates required fields

i am registering as*

Type of ownership*

Owner Details

Your Name*

Title First Last

Partner's Name

Title First Last

Daytime Contact Number

After Hours Contact Number

Mobile Phone Number*

Email Address*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is Postal Address Different From Above

Preferred Method of Contact

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Riviera Boat Information

Is This Your First Riviera?*

Registration No.*

Hull Identification No/HIN*

Model*

Model Year*

Boat Name*

Engine Brand*

Port Engine Serial Number*

Starboard Engine Serial Number*

Where Will Your Boat Be Moored*

Purchase Information

Did You Purchase Your Boat New or Pre-Owned*

I Purchased My Yacht Through*

My Authorised Riviera and Belize Dealership*

Salesperson*

Name of dealership

Private seller's name

Date of Boat Handover*

Your Boating History

Is This Your First Boat?*

Boat #1

Model / Hull No

Year Purchased

Boat #2

Model / Hull No

Year Purchased

Boat #3

Model / Hull No

Year Purchased

Are you connected to an Authorised Riviera and Belize Dealership?

My Connected Authorised Riviera and Belized Dealership

Riviera Privacy Information

Agree

We will retain the above information on our Riviera database. This information is collected and used primarily to provide information in the form of newsletters, flyers, emails and other material. The above information may also be distributed to Riviera's authorised dealership network from time to time and by completing this form you consent to the above information being distributed to Riviera's authorised dealership network in the territory in which you live. Riviera's designated Privacy Officer is Bianca Cross. If you wish to view the information we hold on file about you or require changes or to have your information deleted, please contact Bianca by phone on +61 (07) 5502 5657 or email bcross@riviera.com.au

November 5, 2018

Owner Registration

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OWNER REGISTRATION