Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. The Sign-Up Form Use this secured form to sign up for our services. You will not be charged until a listing has either sold or has been taken offline. This form can be used for both individual brokers and entire brokerage entities. OK Question Title * 1. What is your name? OK Question Title * 2. What is today's date? Date / Time Date OK Question Title * 3. What is your email address? Email Address OK Question Title * 4. What is the name of your brokerage company? OK Question Title * 5. Where is your brokerage company located? (City & State) OK Question Title * 6. Please specify your role at your brokerage company. OK Question Title * 7. Occasionally, we need to call brokers with a specific question about their listed vessel. What is your cell #? (or brokerage office #) OK Question Title * 8. Do we have permission to text you? Yes No OK Question Title * 9. Through Yachtworlds Boatwizard, which other websites do you wish this vessel to be posted? (Check 1-3 boxes) boats.com BoatTrader.com iBoats.com Duplicate same websites currently tagged for my brokerage company within Boatwizard OK Question Title * 10. Do you give The Mariner Network permission to access your Boatwizard account and only post and edit listings that you have submitted to us? Yes OK Question Title * 11. What is your Boatwizard username? (Boatwizard credentials will remain 100% private and only vessels posted by The Mariner Network will be edited) OK Question Title * 12. What is your Boatwizard password? (Boatwizard credentials will remain 100% private and only vessels posted by The Mariner Network will be edited) OK Question Title * 13. Are you representing yourself or your brokerage company? Myself My brokerage company OK Question Title * 14. If you answered "my brokerage company" to the last question, please provide names, cell number and email addresses for additional brokers in your firm who you would like to have access to our system for use under your umbrella. (We will provide them access to all of our tools via an email)NAME- CELL NUMBER- EMAIL Please OK Question Title * 15. You will not be charged until a listing has either been tagged as sold on Yachtworld or has been taken offline. The Mariner Network uses 'Stripe" for payment processing. Stripe is a secured payment processing service company. What is the personal name or company name on the credit card that you would like to use? OK Question Title * 16. What is the 16 digit number on your credit card? (no spaces or special characters) OK Question Title * 17. What is the date of expiration? (for example 07/26) OK Question Title * 18. What is the 3 digit security code on the back? (for example 678) OK SUBMIT HERE!