H2O presents Self drive rental boats with Crown Blue Line 
Please print out this booking form, complete it, sign it, and return it to us after carefully reading the booking conditions. 

BOOKING FORM FOR FRANCE IN FF 

Person making the booking 
 
Mr.Mrs. Miss Ms
 
Address 
. 
.
 
Country Telephone (home):
Telephone (Work) Fax:
Choice of cruise Please reserve for me the following.  
 
Boat range
Departure date Return date
Out -and-Back cruise? Yes or No? One way cruise? Yes or No?
Departure Base Return Base
Payment of deposit 
 
To confirm my booking, I enclose a deposit of 35% of the hire price. (One way supplement 620FF). For bookings made less than 6 weeks from the start date the full hire price must be made. A
I wish to subscribe to the Cancellation Plan on payment of 4% of the Hire Price A B
Please reserve for me ...........Bicycles at 170 FF per week and or .............Mountain bicycles at 240 FF per week Payable at base on departure
I would like to order ........... Waterways guide (s) at 170 FF including postage and packing C
I would like to bring along my pet at 170 FF per week Payable at base on departure
Total to Pay in French Francs:  A + B + C
I am making my payment in one of the following 3 ways: Please circle the payment method applicable
 
1: By cheque payable to H2O 2: By bank transfer to H2O  3: By credit card 
We accept Visa, Eurocard or Mastercard
 In this case of method 3  I authorize you to charge my account with the sum of .................................FF (French Francs) 
 
Card Number: 
 		 Expiry Date 
 
Date: 
 		 Signature 
 
Party Members  

I will be accompanied by the persons listed below 
 
Name Address
1 1
2 2
3 3
4 4
5. 5
6. 6
7. 7
8. 8
9. 9
I have read the Conditions of Hire as published at http://www.barginginfrance.com/conditions.htm and agree to be bound by them 
 
Date  Signature 
Please fax and then mail us this booking form to the address below. You will receive your booking confirmation with a copy of the Livre Bleu (Operating manual for the boats and the waterways) and a Crown Blue Line Waterways map for the region you have chosen 

H2O, Port de Plaisance, 21170, Saint Jean de Losne, France  
Tel: International + 33 380 392 300  
Fax: International + 33 380 290 467