h2olidays presents Self drive rental boats with Locaboat. This form is also available as a Word document.
Please print out this booking form, complete it, sign it, and return it to us after carefully reading the booking conditions. 
BOOKING FORM IN EUROS 
only for cruises with Locaboat Plaisance

Person making the booking
 
First Name Last Name
Address 
. 
.
Country Telephone (home):
Telephone (Work) Fax:
Mobile Phone :
 E mail address:

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

Basic Cost of Hiring the Boat

Basic hire cost for the boat rental A
One way supplement if applicable = 90 euros for Classique, 120 euros for all other boats (100/130 euros in Ireland) B
Total basic hire cost C

 Payment of deposit 

To confirm my booking, I enclose a deposit of 40% of the hire price ( = C * 40%) 
For bookings made less than 6 weeks from the start date the full hire price must be paid.( = C)		 D
I wish to subscribe to the Cancellation Plan by payment of 4% of the Hire Price C ( = C * 4%) 
This is not available for bookings made less than 6 weeks before departure.		 E
I would like to order ........... Waterways guide (s) at 27 euros including postage and packing. (available for France only) F
I would like to bring along my pet at 26 euros per cruise Payable at base on departure
Please reserve for me ...........Bicycles at 42 euros per week Payable at base on departure
Please reserve for me ...........Child's Bicycles at 21 euros per week Payable at base on departure
Total to pay today in Euros: (= D + E + F) G
I am making my payment in one of the following 3 ways: Please circle the payment method applicable
1: By cheque payable to h2olidays 2: By bank transfer to h2olidays 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 .................................euros 
 
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/locconditions.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 The Locaboat Manual (Operating manual for the boats and the waterways)

h2olidays, Port de Plaisance, 21170, Saint Jean de Losne, France
Tel: International + 33 380 291 381
Fax: International + 33 380 392 149