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Bareboat Sailing Charters

Brian P. Blank
Tel:(860)388-6463
Fax:(860)388-6563
E-Mail: brian.blank@snet.net

Please fill out this form or print it and mail or fax it to us:
Skipper's Name:
Address:
City:
State:
Work Phone:
Home Phone:
Mobile Phone #(s) you will have on boat:
Vessel:
Charter Dates :
Depart:
Return:
Name of person to contact in event of necessity :
Name:
Address:
Phone #:
Crew list:
Name: Contact Phone #:
Name: Contact Phone #:
Name: Contact Phone #:
Name: Contact Phone #:
Name: Contact Phone #:
Please note: The most common error we have observed is the planning of an itinerary too extensive for the time available.
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