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Inquiry Form
Required Information
Name:
Company:
Address:
City, State, Zip:
Country:
Business Phone:
Business Fax:
Home Phone:
Home Fax:
Email Address:
Charter Information
Type of Vessel:
Catamaran
Power
Monohull
What size yacht will you like to charter?
ft.
Number of Guests:
Select One
2
3
4
5
6
7
8
9
10
11
13
14
15
16
17
18
19
other
More?, Please specify
Number of Children:
Approx. Ages of Children:
Number of Couples:
Select One
2
3
4
5
6
7
8
9
10
11
13
14
15
16
17
18
19
Other
More?, Please specify
Is air conditioning important to you?
Y
N
Our price range is approximately:
US dollars per week
Cruising Ground:
Select One
Virgin Islands
St Marteen/Antigua
Bahamas
French & Italian Riveria
Greek & Turkish Islands
Pacific Islands
San Blas Islands(Panama)
New Port
Other
Other:
(please specify)
Dates and Length of Trip Requested
Approximate Date(s) Of Interest:
I am considering the following seasons:
This Year
Next year
Another Year
My dates may include:
Select One
Christmas/New Year
February Vacation
April Vacation
Summer Vacation
Length of Charter in Days:
Select One
2
3
4
5
6
7
8
9
10
11
13
14
15
16
17
18
19
More?, please specify
What kind of watersports do you plan to enjoy during your charter?
SCUBA Diving
Water-skiing
Kayaking
Others?, Please specify:
Are You Dive Certified?
Yes
No
Additional Comments:
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© Sonja Pacher Yacht Charter Broker, St. Maarten, Netherlands Antilles | Tel +43 69910288877 | Fax 866-262 2877 |
mail:sonja@cosmopolitanyachting.com
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