Sea-Tech Systems Data Services

First Name *

Last Name *

Email Address *

Phone

Organization

All transactions are secure and encrypted.

First Name on Account *

Last Name on Account *

Card Number *

CVV

Expiration Month *

Expiration Year *

Address 1 *

Address 2

Billing Country *

Billing City *

Billing State *

Billing ZIP Code *

Device IMEI#

SIM Card#

Device Serial#

Vessel Name

Vessel Type

MMSI

Call Sign

Gross Tonnage

Country of Registration

Home Port

Crew/Passenger Capacity

Emergency Contact (Name, Email, Phone)

Emergency Contact (Address, City, State, Zip, Country)

I accept the Terms and Conditions

Setup Fee	$50.00
Prorated Fee (normally $60.00 recurring on the 1st day of each month)	$20.79
Today's Total	$70.79
then $60.00 at first renewal on 1 Dec 2024
Merchant contact info: +1-206-792-9540 activations@sea-tech.com