REQUEST FORM FOR SHIP PURCHASE OR LONG CHARTER

Your Company Name: REQUIRED

Your Name: REQUIRED

Street: REQUIRED

City:    State:   Zip: REQUIRED

Country: REQUIRED

Phone: REQUIRED

Fax:

Email: REQUIRED

Do you wish to buy or to charter, or to consider both possibilities?
Buy  Charter  Both

Is your company already operating vessels?
Yes  No

Are you searching for your own company or are you a broker or agent?

Kind of ship you are looking for: coastal, river, high seas, expeditionary

Do you want a Standard or Luxury ship?
Standard  Luxury 

What price range?

How many cabins do you need?    

What will ship be used for?

Do you need a casino? Yes  No    How big?

Cabin or amenity requirements:

When would you like to start operations?

Itinerary where you will be operating the ship:

Any other companies you have contacted (so we will not contact twice): 

Make sure you have given us as much detail as possible which will help us to assist you better and faster.
We will start our search immediately for you and look forward finding the right ship for you.

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Broker/Agent Commission Protection
By submitting this charter/purchase request to SmallShipCruises.com, you agree that Small Ship Cruises Inc. and its associates
that provide you with the charter/purchase information are the brokers/agents of record. 
If you are a broker or travel agent you agree to sharing any resulting commission.

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