Fill out the Contract Form - Molo77

Please complete the following form by entering the **Charterer's** details required for the preparation of the **Rental Agreement**:

* required field

Full Name*

Place of Birth*

Date of Birth*

Tax Identification Number (Tax Code)*

Country of Residence*

Residential Address*

Street Number*

E-mail Address*

Identification Document*

Document Number*

Place of Issue*

Date of Issue*

Boating Licence*

* Select Holder if you have booked a boat that requires a Mandatory Boating Licence;
* Select Not Required / Not Holder if you have booked a boat that can be operated Without a Boating Licence;

Boating Licence Number*

Boating Licence Issue Date*

Boating Licence Expiry Date*

Upload a Copy of Your Boating Licence*

NOTICE: By selecting Not Required / Not Holder, you declare that you are booking a boat that can be operated without a boating licence. If you are booking a boat that requires a mandatory boating licence but do not currently have the licence details available, you may continue completing the form. However, you must bring your boating licence with you on the day of departure. Otherwise, you will not be allowed to sail and no refund will be issued. Thank you for your understanding.

Departure Date*

Booking Duration (Days)*

Return Date* (Enter the same date as the Departure Date if the booking lasts only 1 day)

Please declare that the following passengers will be on board:

Total Number of Passengers* (Excluding the Charterer)

Subscription to the UnipolSai "Navigare" insurance policy including "Kasko" coverage at an additional cost of €30.00

By subscribing to the UnipolSai "Navigare" insurance policy including "Kasko" coverage, you will be required to provide the following security deposit on the morning of the rental:

* €600.00 FOR BOATS THAT DO NOT REQUIRE A BOATING LICENCE;

* €900.00 FOR BOATS THAT REQUIRE A MANDATORY BOATING LICENCE;

I confirm my subscription to the UnipolSai Navigare insurance policy including Kasko coverage

If you choose NOT to subscribe to the UnipolSai "Navigare" insurance policy including "Kasko" coverage, you will be required to provide the following security deposit on the morning of the rental:

* €1,600.00 FOR BOATS THAT DO NOT REQUIRE A BOATING LICENCE;

* €1,900.00 FOR BOATS THAT REQUIRE A MANDATORY BOATING LICENCE;

I confirm that I DO NOT subscribe to the UnipolSai Navigare insurance policy including Kasko coverage

I consent to the processing of my personal data in accordance with Article 23 of Italian Legislative Decree No. 196/2003