Charter Reservation Form

Personal data:
 
First name: *
Last name: *
House number & Streetname : *
Zip code: *
Residence: *
Country: *
Phone number: *
Fax number:
E-mail: *
The person as mentioned above, would like to know the availability of the following yachts:
 
Willing 31 9,50 mtr. 6 berths
Huisman 33 10,00 mtr. 7 berths
Dehler 34 10,35 mtr. 6 berths
Event 34 10,40 mtr. 6 berths
 
Charter period of your choice
From:   to  
 
Alternative period:
From:   to  
 
Available extra's
 
  Gennaker or Spinnaker € 50,00 per weekend or week
Autom. Pilot € 35,00 per weekend or week
Rubber Dingy € 40,00 per weekend or week
Outboard engine for Dingy € 30,00 per weekend or week
Life raft 4-6 or 8 persons € 90,00 per weekend or week
4 pers. Campingtent € 25,00 per weekend or week
 
Sailing experience:
 
  How many years of sailing experience do you have and on which type of yachts?
 
  Open dingy: Type: Length:
  Open keelboat: Type: Length:
  Cabin cruiser: Type: Length:
 
  Did you sail as Skipper or as crew member on these yachts ?
  Skipper
  Crew member
 
  Last experience as skipper in the year:  
 
  Sailing certificat(s) or sailing license(s): (when available)
 
  How many years of sailing experience does your crew have , on which type of yachts did they sail?
 
  Open dingy: Type: Length:
  Open keelboot: Type: Length:
  Cabin Cruiser: Type: Length:
 
For security and insurance reasons we kindly request you to fill out this crew list:
Name: Date of Birth Place of Birth: Man/Woman Function: