Person making the booking
| MR-MRS-MISS-MS | ||||
| ADDRESS :
COUNTRY : |
||||
|
||||
| NUMBER OF PERSONS : |
PLEASE RESERVE FOR ME A CRUISE
| CRUISE START DATE : | END OF CRUISE DATE : |
| STARTING AT | CRUISING TO |
PAYMENT OF DEPOSIT
| TOTAL CRUISE HIRE PRICE : | A |
| TO CONFIRM MY BOOKING I ENCLOSE A DEPOSIT OF 30% OF THE HIRE PRICE : | B ( = A * 30%) |
I AM MAKING MY PAYMENT IN ONE OF THE FOLLOWING THREE WAYS
:
| 1) BY CHEQUE PAYABLE TO h2olidays | 3) BY CREDIT CARD. WE ACCEPT
VISA EUROCARD MASTERCARD |
| 2) BY BANK TRANSFER TO h2olidays |
IN THE CASE OF METHOD THREE I AUTHORIZE YOU CHARGE
MY ACCOUNT
WITH THE SUM OF
:
euros
| CARD NUMBER: | EXPIRY DATE : |
| DATE : | SIGNATURE: |
PARTY MEMBERS
I WILL BE ACCOMPANIED BY THE PERSONS LISTED BELOW
| NAME : | ADDRESS : |
| 1) | ? |
| 2) | ? |
| 3) | ? |
| 4) | ? |
| 5) | ? |
| 6) | ? |
I HAVE READ THE ATTACHED CONDITIONS OF HIRE AND AGREE TO BE BOUND BY
THEM
| DATE :
|
SIGNATURE : |
PLEASE FAX AND MAIL US THIS BOOKING FORM TO THE ADDRESS BELOW.
h2olidays, PORT DE PLAISANCE, 21170 SAINT JEAN DE LOSNE FRANCE
TEL: INTERNATIONAL + 33 380 291 381
FAX : INTERNATIONAL + 33 380 392 149