Nicholson Yacht Charters Response Form

To serve you better and recommend the best yacht for you at the lowest price, please fill this form out completely.

• First Name: Last Name:
  
• email address:
  
• Mailing address:
  
• City: State/Province: Country: Zip:
  
• Fax:
• Phone (Day): Phone (Evening)

Cruising Area(s):

Size and Type of Boat:

Sailboat Multihull Power     Size:

Dates:

Approx dates of Charter or Month:
Number of Days: 7 10 Other

Total Number in Party:

Adults: Childern: Ages: Boys: Girls:
Number of Couples: Number of Singles: Number of Cabins Desired:

Sports Desired:

Snorkeling: Windsurfing: Waterskiing: Fishing:
Scuba: #Certified: Dives/Week Desired:

Budget per person per week:(check one)

$1000-1300 $1301-1700 $1701-2000 $2001-3500 $3501-5000
Other:

Please keep in mind that the price of a vessel may depend on the number of double berth cabins with private heads (baths) desired, size of boat & cabins, amenities, degree of luxury, etc.

How did you hear about us?:

Have you contacted us in the past? NO YES