sales@praxes.ca

Halifax, B3K 1Z7, CA

Contact Us

New Yachting Client Onboarding Form (YMS)

Please complete the form below to submit a new yachting client onboarding request. Note that this form should be completed for each vessel that needs to be setup.

*Fields with an asterisk are required.

Please enable JavaScript in your browser to complete this form.
What is the name of the yacht / vessel?
Vessel Captain or Manager's full name? (24/7 Client Contact Name)
This is the person that we would reach out to if there were any concerns 24/7.
Please indicate how many people will be onboard this vessel.
Address of Business/Client
What is your head office address?
This is the primary contact phone number that we would reach out to in the event there was an urgent contact issue. This could be a satellite phone number.
This would be the email that we would use to reach out to them if we have any non-urgent questions.
You may optionally also provide a cell phone/mobile number.
For a call in phone number (for Telemed services), what Region do they prefer to call?
We can setup a UK number for the client for example
Indicate when the required coverage is to Start.
Indicate when the required coverage is to End.
Click or drag files to this area to upload. You can upload up to 10 files.
Click or drag a file to this area to upload.
If possible, please upload a photo of the vessel! Supported formats are: .jpg, .jpeg, .gif, .bmp, .png
Terms of Use
View a copy of our Terms on our website here: https://legacy.praxes.ca/terms

looking for comprehensive telemedicine coverage? 

Be Ready for Medical Emergencies.

PRAXES Can Help.

Connect With Us