As a convenience Charter Sailing Unlimited accepts VISA and MasterCard charges for all deposits and final payments with the purchase of travel insurance, or a signed Travel Insurance Waiver. Should a VISA or MasterCard be used for payment, a 4% convenience charge will be assessed on the amount charged.

1. To print this form, press the print button at the top of your browser window or select the 'file' menu and then 'print.' When you're finished printing you may close this window to return to the Charter Sailing Unlimited site.

2. Fill out this form completely.

Date of Charter Contract:___________________________________________

From:___________________________   To:____________________________

Name of yacht:___________________________________________________

Name on Charter Contract:__________________________________________

Type of credit card: 
VISA    MasterCard

Name on card:____________________________________________________

Card number:____________________________________________________

Expiration Date:__________________________________________________

V Code:___________________
(Located on the back of the card. The V Code is the last 3 digits after your card number)

Credit Card Billing Address:

__________________________________________________
Street, State, Zip

Deposit:___________________________ Balance:_____________________________

Signature:___________________________________Date:_______________________

NOTE! CHARTER FEES ARE NOT REFUNDABLE!

If payments are made by credit card, the participant(s) waives any charge back rights except for a charter that can not be performed in accordance to the signed Charter Agreement.

3. Please fax to Charter Sailing Unlimited at 317-745-1923

Charter Sailing Unlimited
75 Elizabeth Court Danville, IN 46122-1997
Phone: 888-856-8310 | 317-745-1990 | Fax: 317-745-1923