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Day Boat Booking Form for Belle du Midi Cruises 2012

Your Name
Address

Town
Postcode
Country
 

Home Phone  

Other Phone  

Requested date
(phone first for availability)
 

Requested time
(please tick one)
Full day
10H00 - 18H00
Half day
10H30 - 14H30
Half day
15H00 - 19H00

Number of crew members
(2-10)
 

Boat Hire Charge Full day
Half day
€ 200.00
€ 130.00
 

Deposit 50% due with reservation (non-transferable/non-refundable), 50% due on day of departure. French cheques made payable to BELLE DU MIDI CRUISES. For credit card payment please contact us evenings on Tel: 00 33 (0)4 68 93 53 94.
Send booking form to: Barry Entwistle 4 Impasse du Moulin, Nevian, Aude 11200 FRANCE.

I the undersigned, declare that I am over 18 years of age.
 
Signature   Date