Hotel Barge Booking form            BOOKING FORM IN US DOLLARS

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

 
COUNTRY : 
 
 
TEL. HOME : 
 		 TEL. WORK : 
 
FAX : 
 		 E MAIL : 
 
 

Choice of Cruise

PLEASE RESERVE FOR ME THE FOLLOWING
 
CRUISE START DATE : 
 
 		 END OF CRUISE DATE : 
 
 
BARGE: 
 
 		 COMPANY: 
 
 
NUMBER OF GUESTS: 
 
 		 ACCOMODATION REQUIRED: 
 
 
WEEKLY RATE PER PASSENGER 
 
 		 TOTAL COST OF THE CRUISE 
 
 
 

PAYMENT OF DEPOSIT
 
 TO CONFIRM MY BOOKING I AM MAKING A DEPOSIT OF
 
 
DEPOSIT IN US DOLLARS 
 
 		 BALANCE TO BE PAID IN US DOLLARS: 
 
 
 

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 :
 
CARD NUMBER: 
 		  EXPIRY DATE : 
 
DATE : 
 		 SIGNATURE: 
 
 

PARTY MEMBERS

I WILL BE ACCOMPANIED BY THE PERSONS LISTED BELOW
 
NAME : ADDRESS : 
1) 
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2) 
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3) 
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4) 
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5) 
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6) 
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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 + 33 380 392 300
FAX : INTERNATIONAL + 33 380 290 467