First Name:
Last Name:
Address:
City, State (Province):	,
Country, Postal Code:	,
Home Telephone:
Work Telephone:
Fax:
E-Mail Address:
First Preference:	Charter with Crew on a Motor Yacht   Charter with Crew on a Sailing Yacht
Location of interest:	LOCATIONS ------------------ Virgin Islands Leewards (St. Martin, St. Barths, Anquilla) Antiqua French Islands Grenadines San Blas Bahamas Alaska San Juan Islands South Pacific Greece Trukey Italy Adriatic New England
Number of people in your party?:
If there are children, what     are their ages?:
How many sleeping cabins will you need?:
How many couples and     how many singles:	Couples    Singles
Is air conditioning very      important to you?:	Yes No
Length of charter:	7 nights (typical) 10 nights 14 nights Other If "Other", please specify
How would you classify     your request?:	Please call me right away, we are ready to start our plans immediately. I will charter in the next six months.
Which is applicable for you?:	I have spent some time before on a sailboat or motor yacht. I've taken a yacht vacation before, either sailing or motoring.
How did you hear about     Crewed Charters?:	Magazine Ad Personal Referral
If you have specific dates,      please indicate:	Start Date:    End Date:
Will there be any certified scuba divers in your group that will want to dive?:	Yes No
Will you describe your      group as:	Very active. More likely to do a bit of snorkeling and swimming but mostly take it easy.
Do you look forward to:	Good food. Really outstanding cooking.
How would you      characterize your budget     for     this vacation?:	Priced well for a leisurely vacation (comfortable, good food, basic water sports, but not fancy.) Priced in the middle range (for a greater variety of water sports and toys, and a higher standard of food and service.) Priced so you will really be very well taken care of (top crew, the highest standards of food and service, a full range of water sports and toys.)