FLIGHT INFORMATION Arrival Details Departure Details

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CLIENT Yacht Charter Date Boarding / Departure Ports LYG Agent FLIGHT INFORMATION Arrival Details Departure Details Airport / Destination Airport / Destination Airline Airline Flight Number Flight Number Date Date Time Time GUEST INFORMATION Please provide the following for each guest Name Sex Date of Birth Passport Number Country of Issuance Shoe Size (For Fins) Wetsuit Size

MEDICAL DETAILS Many or all of your crew members have completed their basic First Aid certificates and are able to treat minor ailments, and administer basic drugs. The crew is also discreet about every guest s 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.). Name Medical Condition (Please remember to include food allergies!) SPECIAL OCCASION Would you like the crew to arrange any celebrations during your charter? (i.e.: anniversary, birthday, holiday, etc.) The Occasion What date would you like to celebrate this occasion?

ITINERARY While 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!). Although not every vessel can provide every activity, please check the activities you would prefer to participate in. Activity Check Activity Check Swimming Wave Runner / Jet Ski Snorkeling Active cruising, inland excursions/ nightlife (docking at marinas) SCUBA Diving Relaxing and leaving the world behind (evenings at anchor) Beachcombing Sailing/ Surfing Fishing Music/ Dancing Water Skiing Land Tours/ Shopping Considerations?? Will there be any guests on board that do not swim? FOOD PREFERENCES 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 Circle your preferences or add specifics in blank spaces Type Your comments/ specifics Bread, Pastry Breakfast Meats Dairy, Eggs Cheese Fruit Breakfast s Breakfast s

LUNCH & DNNER Circle your preferences or add specifics in blank spaces and circle Cuisine Your comments/ specifics Asian Spicy Italian French American Mexican Cuisine Type s Cuisine Type s Food Types Your comments/ specifics Beef Chicken Lamb Pork Quail Pigeon Veal Venison Ostrich Fish Shellfish

Food Types Your comments/ specifics Salad s Vegetables Hors D oevres Caviar Foie Gras Canapés Desserts Cuisine Type s Cuisine Type s BEVERAGE PREFERENCES 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. As we try to accommodate all preferences please note that not all specific brands are available in ALL locations. SOFT DRINKS, JUICES, MIXERS & WATER Drink Types Specific Brand s (If Any)Also specify Diet/ Gas / No Gas / Fresh Squeezed/ etc. Cola Lemon Lime Soda Ginger Ale Club Soda Tonic Water Fruit Juice

Drink Types Specific Brand s (If Any)Also specify Diet/ Gas / No Gas / Fresh Squeezed/ etc. Water Lemonade Ice Tea Coffee Tea Hot Choc Drink s Drink s ALCOHOL Drink Types Specific Brand s (If Any) Beer Scotch Bourbon Whiskey Gin Vodka Rum Apertifs Digestifs

Drink Types Specific Brands (If Any) Liquors Cocktails Drink s Drink s WINE 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. We can further supply a wine list from a local company that supplies French and International wines and beverages. Wine Types Label or Type (List if you have a preference) Red Approx Cost per Bottle Number Of Bottles White Rose Champagne Wine s Wine s