Contact Information
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| Full name: (required) |
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| Email address:
(required) |
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| Street |
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| City: |
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| State/Province: |
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| Zip Code: |
Country:
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| Telephone: (required) |
Day
Eve |
| Telephone: |
Day
Eve |
| Fax: |
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Vacation Details
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| Type of yacht: |
Sail
Power Catamaran
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| Type of group: |
Family
Couples Singles
Corporate |
| Number of guests: |
Approx. Ages:
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| Number of berths: |
Double
berths:
Single berths: |
Desired start dates:
(specific dates, month, season?) |
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| Number of days: |
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Target Budget Per Person:
(based on 7-night week) |
$1500-2500
$2500-3500
$3500-4500 $4500
++ |
| Have you chartered before: |
Yes
No |
| If yes, name of yacht and area: |
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| Is there a specific yacht you
are interested in: |
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| Special dietary requirements: |
None
Medical Kosher
Vegetarian
Other (please specify in "comments" below) |
| Special occassion: |
None
Honeymoon Birthday
Anniversary Other |
| Air conditioning: |
Not necessary
Prefer Very Important |
| Scuba Diving: |
Interested in Scuba Diving ?Yes
No
(All boats provide snorkeling, but not Scuba)
If yes, are you certified divers? Yes
No |
| When you go on vacation, what
level of hotel do you stay in? |
Budget
Moderate Deluxe
Luxury
Hotel Chain: |
| Questions or Comments? |
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page.
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