IBA Memberhip Application Form
Please note *
Summer policies are only applicable to Ionian waters if you require all Greek waters this will be a yearly policy.
Duration comformation: * Yearly
Full Name and title: Nationality: *
Full Address:
Phone: Email: *
Type of Membership:*
Vessel Registration:
Name of vessel: *
Details of vessel: *
Type: Make: Year built:
LOA: Draught: Weight incl. engine:
Registration: *
No: Country registered:
VHF: * Yes:   No:
Engines: *
No of Engines: Engine type:
Boat insured: * Yes: Insurer's Name:
Name of Boat Owner: *
Shared Owners:  * *( if no leave blank)
Skipper: *
Vessel Base: *
Declaration: I confirm this vessel is serviced and maintained in accordance with the manufacture's recommendations. I declare that, to the best of my knowledge and belief, the statements on this application form are true and correct.  I understand that I may cancel my application within 7 days of receiving my membership documents when I may request a full refund for any contribution paid, providing I have not called for assistance under the membership scheme.  I also understand that thereafter my membership runs for a period of Membership indicated and cannot be cancelled during that time.  I agree to the IONIAN BOAT ASSISTANCE  Membership Terms and Conditions.
I have read and accept 'The Declaration' and 'Membership Terms & conditionsPlease tick this box
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