Saint Antonius Booking form           BOOKING FORM IN EUROS

Person making the booking
 
MR-MRS-MISS-MS 
ADDRESS : 
 
 

 COUNTRY : 

TEL. HOME :  TEL. WORK : 
FAX :  E MAIL : 
 
NUMBER OF PERSONS : 

 Choice of Cruise


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 : 
WE STRONGLY RECOMMEND TO CLIENTS TO TAKE OUT A TRAVEL INSURANCE POLICY AND TO COVER
THE UNFORTUNATE EVENTUALITIES OF CANCELLATION, LOSS OR DAMAGE TO PERSONAL BELONGINGS.

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 + 33 380 290 467