Charter Inquiry Form Crewed and Bareboat

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Charter Inquiry Form

Every charter is unique. In order to offer our best recommendations most suited to your tastes, budget and lifestyle, we will need to be sure of your expectations and requirements. Please submit the following details in order to provide this important information. If you are unsure of your requirements or you already know the yacht of your dreams, contact us at 800-479-9054 or 386-454-1261. We will be happy to discuss your specifics personally to tailor your charter specifically to your group's needs. By the way, all information you provide us will be kept strictly confidential and is never shared with any outside source! Ever! Your privacy is paramount.
*Required fields

Name*

Mailing Address*

City, State, Zip*

Country

Daytime Phone*

E-mail Address*

Re-Enter Email*

Charter Type*

Bareboat Charters: Please describe the largest vessel you have skippered and outline briefly your boating or charter experience:

Vessel Type*

Preferred Size*

Your Budget*

per person per week

Destinations*

Primary Destination

Alternate Destination

Dreaming of some other destination not listed above? Tell us more!

Your Group Size*

	Total Group Size, including children
	How Many Couples will require double bedded cabins?
	How Many Children in your group?
	Age of youngest child

Charter Duration*

3 - 5 days 7 days 10 days 14 days More than 14 days

Approximate Travel Dates*

Primary Travel Dates *		Secondary Travel Dates (optional)

Do you have Specific Dates?

Will You Be Scuba Diving
During your Charter?

No Scuba Divers in our party
We are Certified Scuba Divers and want to dive from the yacht
Diving by rendezvous with local dive company is fine
We will require Scuba Instruction during our holiday

Where did you
hear about Charter Specialists?

Search Engine
Charter Net
Magazine
Referral from a friend
Past Charterer
Some other Website
Can't recall!

Please note any specific yachts on our site that you would like more information on or any additional information which might be helpful in our quest to offer the best selections for your charter holiday.

Feel free to Call or Email if you have questions or need assistance!

1.386.454.1261 Local
1.800.479.9054 Toll-Free
1.509.267.4973 Fax