Charter Inquiry Form

Name:

Company:

Address :

City :
State:
Zip :

Country :

Business Phone :

Business Fax :

Home Phone :

Home Fax :

Email Address :

Type of VesselSailPower

Type of CharterBareboatSkippered BareboatFully Crewed

What size yacht will you like to charter? :
ft.

Number of Guests:n

Number of Children:

Approx. Ages of Children:

Number of Couples:

Is air conditioning important to you?YesNo

Our price range is approximately:
US dollars per week

Cruising Ground :Select OneFranceItalyBalticCroatiaTurkeyGreeceBalearicsOther

Other:(please specify)

Approximate Date(s) Of Interest:

I am considering the following seasonsThis YearNext yearAnother Year

My dates may include :Select OneChristmas/New YearFebruary VacationApril VacationSummer Vacation

Length of Charter in Days:

What kind of watersports do you plan to enjoy during your charter?SCUBA DivingWater-skiingKayaking

Others?, Please specify

Are You Dive Certified? YesNo

Additional Comments

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