defender marine outfitters logo


AIS Static Data Programming Form (Please Print)

This form is required with your purchase of a Class B AIS and must be completed before your order can be processed.

Please follow instructions and fill in the required fields, then press the "Submit" button at the bottom of the page.
Alternately, you may print and fax or e-mail the pdf version along with a copy of your MMSI registration.
Our fax number is 860-701-3432.


IMPORTANT NOTICE:
Because each transponder can only be programmed once with your personal MMSI number,
these units are NOT CANCELABLE or RETURNABLE after orders have been placed.


Contact Details (*=required)
 
 
 
 
 
For vessels that sail internationally:

Please fax Defender a copy of FCC Ships Station License with MMSI and Call Sign.
Fax: 860-701-3432

For vessels on domestic voyages only:

Please fax Defender a copy of MMSI Registration From Sea Tow, US Power Squadron, Boat US or Other.
Fax: 860-701-3432

 
Record the following information on this document. (*=required)
 
 
 
Determine position of GPS antenna on vessel. Round distance to nearest meter (*=required) Distances must be in rounded meters, with no decimal points.
 
 
 
 
Determine type of Vessel - Choose from drop down menu below (*=required) * Please Select
Vessel - Commercial Fishing
Vessel - Commercial Towing
Vessel - Towing And The Length Of The Tow Exceeds 200m Or The Breadth Exceeds 25 m
Vessel - Engaged In Dredging Or Underwater Operations
Vessel - Engaged In Diving Operations
Vessel - Engaged In Military Operations
Vessel - Recreational Sailing
Vessel - Pleasure Craft (Powerboat)
Search & Rescue Vessel
Vessel - Engaged In Diving Operations
Tugs
Port Tender
Vessel With Anti-Pollution Facilities Or Equipment
Law Enforcement Vessel
Medical Transports (As Defined In The 1949 Geneva Convention & Additional Protocols)
Ships According To RR Resolution No. 18 (Mob-83)
 
 
WARNING: It is a violation of the rules of the Federal Communications Commission to input an MMSI that has not been properly assigned to the end user, or to otherwise input any inaccurate data in an AIS Transponder.
As vessel owner or captain, I certify that the above vessel identification information is correct and valid.
 

IMPORTANT NOTICE:
Because each transponder can only be programmed once with your personal MMSI number,
these units are NOT CANCELABLE or RETURNABLE after orders have been placed.

            
 

Copyright Date by Defender Marine Outfitters