*Party Leader Name:
*Booking Reference Code:
*Address:
*Postcode:
*Email Address:
Telephone *Day: Evening:
Yacht Type:
Cruise Start Point:
Charter Dates: Embark: Year 20082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030 Month January February March April May June July August September October November December Day 01020304050607080910111213141516171819202122232425262728293031
Cruise End Point:
Disembark: Year 20082009201020112012201320142015201620172018201920202021202220232024202520262027202820292030 Month January February March April May June July August September October November December Day 01020304050607080910111213141516171819202122232425262728293031
Type of Transport to base?
Estimated time of arrival at base?
Please tick the type of holiday:Bareboat 1 week 2 weeks Other
If other please explain
Sea Kayaking: 1 Week 2 Weeks
Instructional Skipper: Skipper: No. of days: No. of days:
Security Bond $2000 Refundable (Payable on arrival at the base)
PLEASE LIST PARTY MEMBER'S DETAILS starting with Party Leader.
ALL details below must be filled out below; failure in doing so may result in a long delay when leaving Harbor.
Please list certificates held
Amount of days & areas sailed in the last year
Skippers estimated miles
Skipper's experience: Types & size of yachts sailed as skipper in the last 5 years
Does the main skipper have experience in:
Tidal areas Yes No
Anchoring Yes No
Berthing Yes No
Navigation Yes No
Other Water sports Clubs/Sailing company Yes No
Please state company and destination
How Did You Hear Of Yachting Cambodia Charters?
Have been before Recommendation
Boat show Yachting Magazine
Newspaper Other
Please indicate which publication or show
Yachting Cambodia will contact you for payment details after initial booking is done. Normally payments are done according to Internationally standards for Yacht charter and transfers are done via International recognized banks.
Party Leader's Declaration:
*I certify on behalf of all people included on this booking form, by whom I am authorized to make this booking, that we have read the booking conditions (PDF) attached and agree that our booking is make subject to these conditions.