NEMO PURCHASING/ACTIVATION REQUEST

Select your project * SEFHIER ASMFC Lobster

1. Purchaser Information

Fields marked with * are required

Referral Code If not known, leave blank

Did you already purchase a NEMO unit?* Yes No

Do you have a commercial vessel permit?* Yes No

Since you have a commercial vessel permit, you need to purchase a Triton unit instead. Please leave this form and give us a call at 240-492-1944

Purchase from * Woods Hole Group Other reseller

Purchased From (i.e. Reseller) *

NEMO Transmitter ID # *

Purchaser First Name *

Purchaser Last Name *

Purchaser Title (Owner, Manager, etc)*

Purchaser Email *

Purchaser Mobile * () —

Purchaser Phone () —

Purchaser Company*

Parent Company

Billing Address *

Billing City*

Billing State/Province *

Billing Zip/Postal Code*

Billing Country*

Other Billing Country (please specify) *

Is shipping address same as billing company address?* YesNo

Company Shipping *

Company City*

Company State/Province *

Company Zip Code*

Company Country*

Other Company Country (please specify) *

2. Vessel Information

Vessel Name *

Vessel Home Port (Marina/City/State) *

Is Captain same as Purchaser?* YesNo

Captain First Name *

Captain Last Name *

Captain Mobile Phone * () —

Captain Email

3. Activation Information

Installer First Name *

Installer Last Name *

Installer Company

Installer Phone * () —

Installation Date *

PER NMFS, NO SELF INSTALLATIONS WILL BE HONORED FOR REIMBURSEMENT

Requested Activation Start Date * *No activations on weekends and holidays

4. Installation/Activation Point of Contact Information (POC)

POC Information is same as*

POC First Name *

POC Last Name *

POC Mobile Phone * () —

POC Title *

POC Email *

5. Reporting Information

Enter the Name of the Project *

NOAA/NMFS

NOAA Fishing Region: *
Southeast Northeast Alaska West Coast Pacific Islands

SE Fisheries (check all that apply) * Commercial Reef Fish Gulf of Mexico/Headboat Rock Shrimp HMS

Do you have a charter boat permit? * YesNo

Charter Boat Permit # *

2nd Charter Boat Permit # if applies

Federal Lobster Permit # *

OTHER PERMITS
Fill out at least one *

USCG Documentation #

Federal Fisheries Permit #

State Registration #

Which States do you report to? Select all that may apply

Maine

ME Hull Registration # *

Massachusetts

MA Hull Registration # *

Rhode Island

RI Hull Registration # *

New Hampshire

NH Hull Registration # *

New Jersey

NJ Hull Registration # *

New York

NY Hull Registration # *

Connecticut

CT Hull Registration # *

Delaware

DE Hull Registration # *

Virginia

VA Hull Registration # *

6. Service Plans

Notes: ASMFC Lobster program only

SELECT YOUR NEMO PURCHASE AND SERVICE PLAN FROM THE DROPDOWN MENU BELOW
Federal funding via the participating states will reimburse purchase (up to $1500). Purchase includes 4 years of VMS airtime and VMS subscription.
Credit card only, on file for billing renewals.
Renewals will be based upon an annual billing for subscription services.
NEMO/Service nontransferable between owners
Distress alerting is not SAR (not USCG) but messaging via email to vessel owners chosen recipients.
NEMO is type approved by the Atlantic States Marine Fisheries Commission. Each participating state may have their own procurement process.
NEMO is a simple DIY install (self install).

Notes: SE Federal for-Hire Charter EMTU-C program only
NMFS will reimburse purchase, must provide receipt, and completed NMFS form. WHG to send form with kit.
Credit card only, on file for annual billing renewals
Annual billing only, for subscription service
NEMO/Service nontransferable between owners
Distress alerting is not SAR (not USCG) but messaging via email to vessel owners chosen recipients
A $24.95 activation fee will be added to your total when checking out
ALL INSTALLATIONS MUST HAVE YOUR LOCAL MARINE ELECTRONICS CONTACT DETAILS

*Activation requests received after 4PM will be processed on the next business day

* Unfortunately we are unable to offer refunds for VMS airtime

Service Plan *

Please add at least one email address to notify your party in case of a distress. The email should NOT be the vessel operator's address.

Email 1*

Email 2

Email 3

*Ground shipping to SE NMFS regions - $35

Terms & Conditions * I agree to the Terms and Conditions.

NEMO DISCLOSURE

NEMO is a cellular and satellite hybrid device
When outside the cellular coverage area, messages will be sent via satellite and the sending/receiving of messages can be delayed from 1 to 4 hours
This assistance button is not an E-PIRB, nor is it a Safety of Life at Sea (SOLAS) instrument, but rather means to send a notification to coworkers or family members.
The assistance notification DOES NOT contact Search and Rescue personnel