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Booking Form for Belle du Midi Cruises 2009

Your Name
Address

Town
Postcode
Country
 

Home Phone  

Work Phone  

Your Holiday dates From To  

Number of crew members  

Name of crew members 1. 2. 3.
Any changes to the crew must be authorised by the company prior to departure. 4. 5. 6.

Your requirements
(optional extras)
Map/guide: Quantity Towels: Quantity Bicycles: Quantity (max 4)

How will you be arriving?
(in order to assist you with your
travel arrangements to the boat)
Car Train Plane

Do you have previous cruising experience? Yes No

Your Choice of Boat
(please indicate one)
Connoisseur 1275 RIVE 34 Rive 40

Your Hire Charges BasicHire
Damage waiver
Optional Extras

Total

€ 100.00


 

Deposit 10% of total, 40% due 16 weeks before departure, 50% due 8 weeks before departure. French cheques made payable to Belle Du Midi Cruises.  For credit card payment please contact us on Tel: 00 33 46893 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 and that I have read the booking conditions and information on my cruise, that I accept the conditions and undertake to respect them.
 
  Signature   Date