AVAILABILITY REQUEST FORM:

Name 
Email*
Telephone
Best Time to Call
Fax 

*We need your Phone, Fax or Email Address to respond to your request.
Email is the best. Thank You.

Cruising area we are interested in:
(Click down arrow for more choices)
     Other destination?
      Yes     (Where?) :   
Preferred Charter Dates (& duration): 
     Are your dates flexible?
     Yes     (By how Much?) :   

 We want:
  Bareboat 
(Self-skippered) 

  Captain Only 
(You provision & cook yourselves)

Fully Crewed Yacht 
(Food and bar included) 

 Number of people in our group :
Two  
Four 
Six 
Eight 
Ten 
Other (please specify)

We are interesed in Scuba diving:
Yes 
No 

  Our Preferred Yacht Layout: 

 Number of Cabins  

 Number of Heads   

Yacht Type:
  MOTOR YACHT 
  MOTOR CATAMARAN 
  SAILING MONO HULL 
  SAILING CATAMARAN

Please list any SPECIFIC YACHT, COMPANY or SPECIAL you are interested in:
 Because of the wide selection of yachts we work with, we are able to find you the best value yacht for your budget.  
Our weekly budget is approximately:
  under $1,500 
  $1,500 - $2,500
  $2,500 - $4,000 
  $4,000 - $6,000 
  $6,000 - $8,000 
  $8,000 - $10,000 
  $10,000 - $12,000 
  Other (please specify)

Have you bareboat chartered before? 
  Yes 
  No 

If yes, where and what size yacht(s): 


Briefly describe your other yachting experience:



Special Requests or Comments:

 
 
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.

Melody Delgado, Yacht Charter Broker
800-382-9666 • 941-966-9387
Fax: 941-966-4038
Email: melody@visailing.com

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Member Charter Yacht Brokers Association