Broker Registration

I/We plan to attend the THIRTIETH ANNUAL CYS CHARTER YACHT SHOW at Village Cay Marina, British Virgin Islands on November 8,9,10 & 11 2011.

Company Details Name of Company Telephone Number Email Address Website Skype Name Mailing Address

Please tick all that are applicable to you:: My address/contact information has changed in the last year; The above is a new brokerage.; Note: New brokers are encouraged to attend the CYBA Information Seminar. Exact time and date to be confirmed. Refer to Schedule of Events.; The above is a clearinghouse; Apply $25 late registration fee after October 7th

Company Representatives

Please list the representatives who will be attending:

Travel and Accommodation Accommodation Arrival and Departure dates BVI Entry Point Broker Daysail** **dependent on yacht availability Other Comments