Owner Registration Form

Register your details to automatically become a member of our exclusive Riviera club. You'll receive a VIP card that entitles you to many benefits, including free subscription to Riviera The Magazine, discounts on genuine parts, electronic equipment, R Style clothing and accessories, and more. Membership is free to Riviera owners. Simply fill in your details below and you'll receive your card by post.  

Personal Details
First Name: *
Surname: *
Date of Birth:	/ / (DD/MM/YYYY)
Partners Name:
Partners Date of Birth:	/ / (DD/MM/YYYY)
Mailing Address: *
Suburb: *
State: *
Post Code/Zip: *
Region: *	Americas Europe Australasia
Country: *
Home Phone Number:	- (Country Code - Number)
Mobile Phone Number:	- (Country Code - Number)
Email Address: *
Business Name:
Business Phone Number:	- (Country Code - Number)
Dealership: *
Sale Person:
Boat Model: *
Hull Identification Number: *
Boat Name:
Engine Brand: *
Port Serial Number:
Starboard Serial Number:
Did you purchase your boat new or used?	-- Please Select -- New Used
Purchase Date: *	/ / (DD/MM/YYYY)
Delivery Date: *	/ / (DD/MM/YYYY)
Riviera Privacy Information
Riviera uses the information we collect from this form to add to our database of Riviera owners. We use the database to keep in contact with our customers through the provision of marketing and promotional materials, including the notification of upcoming Riviera events.   You are able to gain access to the personal information we hold about you. If you wish to do so, please contact our Privacy Officer: The Riviera Group Email: info@riviera.com.au Phone: (07) 5502 5673 50 Waterway Drive Coomera Qld 4209