Whitney Yacht Charters Information Form

AVAILABILITY / INFORMATION REQUEST:

Name
Your Email *
Telephone
Fax

*It helps us serve you better if you provide us with your email address. Thank You.

Cruising area we are interested in:
(Click the white box for more choices)

Other destination?
Yes ( Where?) :

Preferred Cruising Dates (& duration):

Are your dates flexible?
Yes ( By how Much?) :

We want:

Fully Crewed Yacht
(Food and bar included)

Captain Only
(You buy everything & cook yourselves)

Bareboat
(You drive the boat)

We are a group of :

Two
Four
Six
Eight
Ten
Other (please specify)

We are a couple wishing to join a group of others
(Fully Crewed Yachts Only).

List any SPECIFIC YACHTS or COMPANIES
that you would like us to check for you:

Yacht Type:
POWERBOATS
SAILING YACHTS
SAILING CATAMARANS
SAILING YACHTS & CATAMARANS

We are interested in Scuba diving
Yes
No

Our budget is approximately (Select One)

CREWED YACHTS:	$ per person, per week.
BAREBOATS:	$ per boat, per week.
MEGA YACHTS:	$ per boat, per week.

Special Requests or Comments:

If requesting brochures, please fill out the following:

Mail Address

City
State
Zip Code
Country

How did you find out about our web site?
(Click the white box for more choices)
If OTHER, please tell us how you found us
(Or, please tell us what "keywords" you used...)

Submit Request:
(or click RESET to clear this form & start over)

If you have requested availability, we will email or fax you with a selection of yachts, including "links" to their descriptions along with a full disclosure of costs.

Please call us if you would like us to mail a brochure package out to you.

We want:

We are a group of :

Special Requests or Comments:

Submit Request: (or click RESET to clear this form & start over)

Submit Request:
(or click RESET to clear this form & start over)