First Coast Charters Request Form
Use form to book a charter or inquire about our services. Default the dates if unsure, we can update later. You will receive final Calendar invite and Confirmation/FAQ Email once we confirm availability. Any questions? 904.270.9463
Email address *
PRIMARY CONTACT *
Principal Point of Contact Name - Format Last, First
PHONE *
10 digits only - no special characters
EMAILCC
Any persons you wish to be copied - Format: Valid Email addresses separated by a comma
TIMESTAMP *
Timestamp the date and time of form submission.
MM
/
DD
/
YYYY
Time
:
START *
Charter start - Depart the dock
MM
/
DD
/
YYYY
Time
:
END *
Charter Ends - Disembark the boat (2 hour minimum)
MM
/
DD
/
YYYY
Time
:
LOCATION *
FCC: Ortega River Marina - 4585 Lakeside Dr. 32210, WW: Fernandina Harbor Marina
Required
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