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CLIEN T

Yacht Charter Date Board ing / Departure Ports LYG Agent

FLIGHT IN FORMATION
Airport / Destination Airline Flight N um ber Date Tim e

A rrival Details
Airport / Destination Airline Flight N um ber Date Tim e

Departure Details

GUEST IN FORMATION
N am e

Please provide the following for each guest


Sex Date of Birth Passport N um ber Country of Issuance Shoe Size (For Fins) Wetsuit Size

1362 SE 17 STREET FORT LAUDERDALE, FL 33316 T: +1 (954) 525 9959 F: +1 (954) 525 9949

TH

WWW.LUXYACH TS.COM

8 BLVD DAGUILLON AN TIBES, FRAN CE 06600 T: +33 489 120 970 F: +33 497 213 784

MED ICAL D ETAILS M any or all of your crew members have completed their basic First A id certificates and are able to treat minor ailments, and administer basic drugs. The crew is also discreet about every guests medical condition and uses this information for planning activities. Please describe any particular medical conditions for any of the guests (such as heart conditions, epilepsy, diabetes, allergies, etc.).
N am e Med ical Cond ition (Please rem ember to includ e food allergies!)

SPECIAL OCCASION W ould you like the crew to arrange any celebrations during your charter? _____ (i.e.: anniversary, birthday, holiday, etc.)
The Occasion What date w ould you like to celebrate this occasion?

1362 SE 17 STREET FORT LAUDERDALE, FL 33316 T: +1 (954) 525 9959 F: +1 (954) 525 9949

TH

WWW.LUXYACH TS.COM

8 BLVD DAGUILLON AN TIBES, FRAN CE 06600 T: +33 489 120 970 F: +33 497 213 784

ITIN ERARY W hile we may be able to offer a formal itinerary, the real benefit to chartering your yacht is being able to adapt to your whims (and the weather!). A lthough not every vessel can provide every activity, please check the activities you would prefer to participate in.
Activity Sw im m ing Snorkeling SCUBA Diving Beachcom bing Fishing Water Skiing Special Consid erations? Requests? Will there be any guests on board that d o not sw im ? Check Activity Wave Runner / Jet Ski Active cruising, inland excursions/ nightlife (d ocking at m arinas) Relaxing and leaving the w orld behind (evenings at anchor) Sailing/ Surfing Music/ Dancing Land Tours/ Shopping Check

FOOD PREFEREN CES To assist the chef in stocking the vessel and planning your menus please make a few notes as to the likes and dislikes of all members of your party regarding food/beverages. The crew will do their best to provision choices that you have indicated, however, please remember specific brands may not be available in island locations. BREAKFAST
Type

Circle your preferences or add specifics in blank spaces


Like Dislike Your com m ents/ specifics

Bread , Like Pastry Breakfast Like Meats Dairy, Eggs Like Cheese Fru it Like

Dislike Dislike Dislike Dislike

Other Breakfast Likes Other Breakfast Dislikes Sp ecial Requ ests

1362 SE 17 STREET FORT LAUDERDALE, FL 33316 T: +1 (954) 525 9959 F: +1 (954) 525 9949

TH

WWW.LUXYACH TS.COM

8 BLVD DAGUILLON AN TIBES, FRAN CE 06600 T: +33 489 120 970 F: +33 497 213 784

LUN CH & DN N ER
Cuisine Like

Circle your preferences or add specifics in blank spaces and circle


Dislike Your com m ents/ specifics

Asian Sp icy Italian French Am erican Mexican

Like Like Like Like Like Like

Dislike Dislike Dislike Dislike Dislike Dislike

Other Cu isine Typ e Likes Other Cu isine Typ e Dislikes


Other Special Requests

Food Types

Like

Dislike

Your com m ents/ specifics

Beef Chicken Lam b Pork Qu ail Pigeon Veal Venison Ostrich Fish Shellfish

Like Like Like Like Like Like Like Like Like

Dislike Dislike Dislike Dislike Dislike Dislike Dislike Dislike Dislike

1362 SE 17 STREET FORT LAUDERDALE, FL 33316 T: +1 (954) 525 9959 F: +1 (954) 525 9949

TH

WWW.LUXYACH TS.COM

8 BLVD DAGUILLON AN TIBES, FRAN CE 06600 T: +33 489 120 970 F: +33 497 213 784

Food Types

Like

Dislike

Your com m ents/ specifics

Salad s Vegetables H ors Doevres Caviar Foie Gras Canap s Desserts

Like Like Like Like Like Like

Dislike Dislike Dislike Dislike Dislike Dislike

Other Cu isine Typ e Likes Other Cu isine Typ e Dislikes

Other Special Requests

BEVERAGE PREFEREN CES If the rate is inclusive the bar may include: beer, table wine, soft drinks with basic and standard brands. Inclusive rates do not provide for specialty foods, fine spirits or vintage wines or champagne. Such items can be purchased at your own expense. A s we try to accommodate all preferences please note that not all specific brands are available in A LL locations. SOFT DRIN KS, JUICES, MIXERS & WATER
Drink Types Like Dislike Specific Brand s (If A ny)A lso specify Diet/ Gas / N o Gas / Fresh Squeezed/ etc. Quantity (Bottles) Quantity (Cases)

Cola Lem on Lim e Sod a Ginger Ale Clu b Sod a Tonic Water Fru it Ju ice

Like Like Like Like Like Like

Dislike Dislike Dislike Dislike Dislike Dislike

1362 SE 17 STREET FORT LAUDERDALE, FL 33316 T: +1 (954) 525 9959 F: +1 (954) 525 9949

TH

WWW.LUXYACH TS.COM

8 BLVD DAGUILLON AN TIBES, FRAN CE 06600 T: +33 489 120 970 F: +33 497 213 784

Drink Types

Like

Dislike

Specific Brand s (If A ny)A lso specify Diet/ Gas / N o Gas / Fresh Squeezed/ etc.

Quantity (Bottles)

Quantity (Cases)

Water Lem onad e Ice Tea Coffee Tea H ot Choc

Like Like Like Like Like Like

Dislike Dislike Dislike Dislike Dislike Dislike

Other Drink Likes Other Drink Dislikes


Other Special Requests

ALCOH OL
Drink Types Like Dislike Specific Brand s (If A ny) Quantity (Bottles) Quantity (Cases)

Beer Scotch Bou rbon Whiskey Gin Vod ka Ru m Ap ertifs Digestifs

Like Like Like Like Like Like Like Like Like


TH

Dislike Dislike Dislike Dislike Dislike Dislike Dislike Dislike Dislike


8 BLVD DAGUILLON AN TIBES, FRAN CE 06600 T: +33 489 120 970 F: +33 497 213 784

1362 SE 17 STREET FORT LAUDERDALE, FL 33316 T: +1 (954) 525 9959 F: +1 (954) 525 9949

WWW.LUXYACH TS.COM

Drink Types

Like

Dislike

Specific Brand s (If A ny)

Quantity (Bottles)

Quantity (Cases)

Liqu ors Cocktails

Like Like

Dislike Dislike

Other Drink Likes Other Drink Dislikes


Other Special Requests

WIN E Some vessels provide their own wine list, which may be furnished in advance upon request -or- list your favorite wines and every effort will be made to obtain them. W e can further supply a wine list from a local company that supplies French and International wines and beverages.
Approx Cost per Bottle N um ber Of Bottles

Wine Types

Like

Dislike

Label or Type (List if you have a preference)

Red White Rose Cham p agne

Like Like Like Like

Dislike Dislike Dislike Dislike

Other Wine Likes Other Wine Dislikes


Other Special Requests

1362 SE 17 STREET FORT LAUDERDALE, FL 33316 T: +1 (954) 525 9959 F: +1 (954) 525 9949

TH

WWW.LUXYACH TS.COM

8 BLVD DAGUILLON AN TIBES, FRAN CE 06600 T: +33 489 120 970 F: +33 497 213 784