1. Contact Information
  Mr. Mrs. Ms.
 
Name:
Phone
E-Mail
2. Organization Information (if applicable)
 
Org. Name:
Address 1
Address 2
Address 3
Org. Phone
Org. Fax
Org E-mail
 
3. Preferred Charter Dates
  (please list 3 possible dates below as 00/00/00, in your order of preference)
- Choice 1
  - Choice 2
  - Choice 3
4. Charter Type
  School (not part of Classroom Under Sail program)
  Non-Profit
  Corporate (for-profit)
  Private
  Other:
  Occassion:
 
 
5. Charter Length
  3-Hour Sail
  8-Hour Sail
  Other:
 
6. Other Events
  In addition to your charter, do you wish to order any dockside events?
yes no
If so, for how many hours? -
   
 
7. Payment Method Preference (* see below)
 
  Credit Card
  I will call in my credit card information (401.274.7447)
  Please call me for my credit card information
  Check/Money Order (** see below)
  I will mail my payment/deposit immediately
  I will arrange to have my payment/deposit dropped off.
  Other Arrangements:
   
8. Comments:
 
 
 
 
   
 

* Please note that a 50% deposit is required at the time of booking to secure your-date.

** Kindly make out your check or money order to:

The Providence Maritime Heritage Foundation
408 Broadway
Providence, RI 02909