Please print and fill out this form. Return the form to us by fax or post
H2Olidays, Burgundy, France
Tel: + 33 (0) 380 291 381
Fax: + 33 (0) 380 392 149
information@barginginfrance.com

BOOKING FORM IN EUROS FOR THE BARGE 'RANDLE'

Person making the booking

MR-MRS-MISS-MS 
ADDRESS : 
 
 

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

SELECT YOUR CRUISE

CRUISE START DATE :  END OF CRUISE DATE : 
FROM  TO 

CRUISE COST AND PAYMENT OF DEPOSIT

TOTAL CRUISE PRICE:
TO CONFIRM MY BOOKING I ENCLOSE A DEPOSIT OF 25% OF THE HIRE PRICE. The balance is due 30 days prior to departure  

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)  ?
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 SARL, PORT DE PLAISANCE, 21170 SAINT JEAN DE LOSNE FRANCE

FAX : INTERNATIONAL + 33 380 392 149

h2olidays Port de Plaisance, 21170, Saint Jean de Losne, France