Site Secured by Blue  Planet SSL-CERT

ResqVester Retail Registration Form

Purchase- Store Name:

Purchase- Store Location:

BoatSafe Tag Number:

Type of Registration: (Click for Help)


Name of Vessel:

Vessel State Registration Number:

Vessel Dock Location:

Enter your primary email address below:
Enter Email Address:

Enter Email Address Again:
(mandatory) (Example: )

Please complete the following section:
The address you want us to send process service documents to:

Street Address:
Apt. No./Other:
ZIP Code/Postal Code
Home Phone:
Ideally this is a phone with voice mail that you would check.

Cell Phone:
If you have a cell phone, enter the number here.

Enter a Password you will remember. Thank you.
Maximum length 10 characters. We recommend an easy to remember password. Letters should be ONLY in lower case.

Pick a Password:

Enter the Password Again:

For Vessel Registrations Please Enter a Description of Your Vessel/Boat/Ship:

What are the maximum number of passengers/crew your vessel is licensed for?
Maximum Passengers:

For Personal Registration Please Provide Critical Medical Information that
Would be Useful to the Coast Guard and other First Responders.

Note: Depending upon how you entered this page, you may have to enter the user name and password again after clicking on the SUBMIT button. This helps to keep the form and its contents secure. Thank you for your purchase and registration.

Blue Planet Offices, Inc. is a Florida, USA Corporation.
Blue Planet Security Corporation is a dba registered with the Florida Secretary of State

Blue Planet Direct is (c) copyright 2016 by Blue Planet Offices, Inc. and Blue Planet Security Corporation and is a Service Mark (sm).

 Home  Contact  BluePlanetSecurityCorp.  Policy/Privacy  COMMENTS   More Options