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Publication Title | Yacht Charter Guest Preference Form Head Charterer

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Head Charterer:________________________ Confirmation Number:________________________ Departure Date:___________

Yacht Charter Guest Preference Form

To ensure that your charter yacht vacation is the best it can be, your captain and crew need to know as much about your charter preferences. PLEASE complete the following sheet, being as specific as possible. Remember that in the islands not all brand names or items are available, but be assured that the crew will do the best they can do to meet your re- quirements.

Charter Summary

Head Charterer:_____________________ Yacht:__________________ Confirmation #:____________________ # of Guests:________

Address:_______________________________________ ______________________ __________ _____________ Street Address City State Zip Code

Phone Number: ______________________ Email address:______________________________________________________ Charter Starts: ____________ ___________________ ___________ ___________________________________

Date

Charter Ends: ____________ Date

Beginning Port Time Cruising Area

___________________ __________ Ending Port Time

Owner/Captain:______________________________________ Phone: _______________________________ Email: _______________________________________________________________

Charter Broker: ____________________________ Business Phone: _______________________________

Fax Number: ___________________________________ Email address: _____________________________________________

Your Charter Group— Please list all members of your party as appearing in their passports. (Passports with at least 6 months validity are required for everyone in your party.)

1) Name: ___________________ ___________________ _________________ __________________ ______________ First Middle Last M F Place of Birth Birthdate

Passport: __________________________ ___________ __________________ _____________________ ___________ Number Issue Date Place of Issue Issuing Country Expiration Date

Address: _______________________________________ __________________________ ________ _________________ Street Address City State Zip Code

General: __________ ________________ ________ ______________________________ ________________________

Certified Diver? Certification Type Shoe Size Emergency Contact Name/Relationship Please let us know your allergies, dietary restrictions, and food intolerances:

Pre-Charter Travel Plans: _______________________________________ _____________ Arrival Date & Airport Time

Emergency Contact #

_________________________ Airline and Flight #

_________________________________ _______________________________ ________________________ Accommodations Address Phone #

Post-Charter Travel Plans: ___________________________________ _____________ _________________________ Departure Date & Airport Time Airline and Flight #

_________________________________ ________________________________ ________________________ Accommodations Address Phone #

1 The CKIM Group, Inc. P.O. Box 781021 Sebastian, FL 32978-1021 Tel # 321.777.1707

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