Maritime Industry

Client Registration

Thank you for choosing Sailors’ Society as your partner in supporting the wellbeing of your seafarers and shore-based teams.

This registration form has been designed to collect the information required to register your organisation and confirm the services that you have selected following discussions with the Sailors’ Society team.

Please complete the sections below and indicate the services that your organisation wishes to proceed with. Upon receipt of your completed registration form, Sailors’ Society will prepare a detailed quotation outlining the selected services, associated costs and applicable terms. The quotation will be sent to you for review and signature.

Acceptance and signature of the quotation constitutes the final step in the registration process and confirms the commencement of services.

Submission of this registration form does not constitute a purchase order or contractual commitment.

Client Registration Form

1. Organisation information

Organisation name:

Registered legal name:

Location of head office:

Number of vessels:

Number of employees / seafarers covered:

2. Primary contact

Name:

First Name

Last Name

Position:

Email:

Telephone:

Mobile:

Time zone:

Keep me up to date:

Keep me up to date I would like Sailors’ Society to contact me by email about its services, wellbeing resources, reports, newsletters, events, fundraising appeals and other activities. I understand that I can withdraw my consent at any time.

3. Emergency contact

Name:

First Name

Last Name

Position:

Email:

Telephone:

Mobile:

Relationship to Organisation:

Other – please specify:

Authorised to be contacted by Sailors’ Society in the event of a serious incident

Yes

4. Secondary emergency contact (optional)

Name

First Name

Last Name

Position:

Telephone:

Mobile:

Relationship to organisation:

Other – please specify:

Finance contact

Name:

First Name

Last Name

Position:

Email:

Telephone:

6. Billing information

Legal entity to be invoiced:

(Exact legal name to appear on the invoice)

Billing contact name:

Billing contact position:

Billing email address:

Billing telephone number:

Billing address:

City

State/Province

Zip/Postal

Country

Billing address:

If billing address is outside of the UK, does the entity have UK registered operations/connected companies?

Yes

Yes – please give details

UK VAT registration number (if applicable):

Purchase order required

Yes

PO to be provided prior to invoicing:

Yes

7. Complimentary services

Please select any complimentary services that your organisation would like activated as part of your package.

E-learning (£0)

Awareness Campaign Resources (£0)

Wellness at Sea Conferences (£0)

Crisis Response Network (£0)

Online Sea Ready Pre-Departure Training (£0)

24/7 Helpline (£0)

Peer-to-Peer Support Groups (£0)

8. Bespoke services

Please select the services that your organisation would like Sailors’ Society to include within your quotation.

Facilitated training

Include in quotation

Number of courses required:

Pricing Basis: £800 per three day course

Ship connect

Include in quotation

Number of calls per month:

Pricing Basis: £12 × Calls per Month × 12 Months

Dedicated crisis helpline

Include in quotation

Number of vessels covered

Companies with fewer than 25 vessels attract a one-time setup fee of £500 in the first year.

Number of employees covered

Pricing Basis: £25 per vessel per year OR £2 per employee per year.

Sea Mate

Include in quotation

Number of cohorts required:

Pricing Basis: £560 per cohort, Maximum 14 participants Sea Mate includes training, certification, ongoing peer support and access to Sailors’ Society’s Crisis Response Network.

Sea Coach

Include in quotation

Estimated number of participants:

Pricing Basis: Pricing negotiated according to company requirements.

9. Additional requirements

Please provide any additional information or requirements that may assist Sailors’ Society in preparing your quotation.

10. Communications and recognition

Sailors’ Society values recognising organisations that support seafarer wellbeing. We would be delighted to acknowledge our collaboration through our communications channels where appropriate.

Would your organisation like to be recognised by Sailors’ Society in social media posts, news articles, impact reports, case studies or other communications materials?

Yes

If yes, please provide your organisation’s links below.

If yes, please provide your organisation's links below.

LinkedIn Company Page

Website

Would your organisation be willing to participate in future case studies, testimonials, interviews or wellbeing impact stories?

Yes

To be discussed

11. Terms and conditions

By Submitting this registration form for services, you acknowledge and agree to our Booking Terms, Safeguarding Policy and Privacy Notice can be found using the links below this form. You also agree to Sailors’ Society contacting you regarding your registration for services, service provision, training bookings, and administration.
Data Processing
Sailors’ Society will process at personal data for the purpose of administering and delivering the selected services and training programmes, including attendance management and certification, in accordance with applicable data protection law and the Data Processing Schedule forming part of the Booking Terms.
Sailors’ Society may also process limited personal data as an independent data controller for internal reporting, training effectiveness evaluation, service improvement, and statistical analysis, in accordance with applicable data protection law, our Data Processing Schedule and Privacy Notice. Analytics and reporting activities will not be used to make decisions about individual attendees or employees.

12. Authorised representative

Name

First Name

Last Name

Position

Organisation

Day submitted

Month

Year

I confirm that I am authorised to submit this registration form on behalf of my organisation.

Yes

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Booking Terms | Safeguarding Policy | Privacy Notice