THE CARIBBEAN WEATHER CENTER'S OFFSHORE CUSTOMISED PASSAGE WEATHER ROUTING SERVICE BY SSB.

To: The Caribbean Weather Center Ltd, Road Town, Tortola, British Virgin Islands

Fax #: 1-284-494-5358

Page(s): 1

Sponsorship Sign-up Sheet

Please register my vessel for the Offshore Customised Passage Weather Routing from _________________ to _________________ during the passage dates from ______________ to _____________.

My personal details are as follows:

Vessel’s Name:

Port of Registry:

Type and model(SY or MY):

Radio Call Sign:

Name of Skipper/Owner:

Postal Address:PO Box Number:

Street:

City:State/Province:

Country:

Telephone & Fax Numbers:

Email address:

Credit Card Number:

Expiry Date:

Name on Card:

I hereby authorise The Caribbean Weather Center Ltd to charge USD$95 to my credit card for this service.

Date:___________________________ Signed:___________________________________