UK Boat Hire - Booking Form
Please telephone to reserve your boat Tel: 0845 126 4098   
(Overseas 00441905 734161)
Then complete this form on line, print it, sign it and Fax 0845 126 4099 (Overseas 0044 1905 616715)

Name and Address of Hirer

Title:

Initial:

Surname:

Address:

Home Phone No:

Work Phone No:

Mobile Phone No:
Email address:

Composition of Crew

Adults (No.):

Children Under 13 (No.):

Pets (No. and Type): First pet goes free, additional pets £25 each.

Names of Crew

1.

6.

2.

7.

3.

8.

4.

9.

5.

10.

Personal Holiday Insurance:  Click here for details.

Mobile Phone Hire. Please indicate if required.

Linen & optional extras (This section helps us to provide the correct combination of linen for your party.)

Double Berth:

Single Berth:

Layout

Pipe Bed (if possible)

Cot Side (if possible)

Boating Video
(UK Only, £1.25 P & P):

Boating DVD
(UK only, £0.85 P & P)

Guide Book
(Please use Order Ref:)

Guide Book
(Please use Order Ref:)

Offers/Discounts/Tokens you wish to claim:

Please Help Us:
Have you cruised on a narrowboat before? If so, with us?

How did you hear about us?

6. Agreement to Hire

I DECLARE THAT I AM 21 YEARS OF AGE OR OVER. I AGREE TO BE HELD RESPONSIBLE FOR THE BALANCE SHOWN ON MY BOOKING CONFIRMATION. I HAVE READ AND AGREE BE BOUND BY THE TERMS AND CONDITIONS OF HIRE.
WHEN PAYING BY CARD I AUTHORISE THE COMPANY TO CHARGE MY ACCOUNT FOR THE PAYMENT SHOWN HERE. I ALSO CERTIFY THAT I AM THE PERSON BOOKING THE HOLIDAY AND THAT THE ADDRESS IS THE SAME AS FOR MY CARD ACCOUNT.

Signature

Date

7. Choice of Boats and Dates

Hire Base:

Boat Class:

Booking Reference No:

Starting Date:

Finishing Date:

Duration:

8. Your Initial Payment            Please make cheques payable to UK Boat Hire .

Please note that there is a Credit Card charge of 1% per transaction. There is no charge for Debit Cards.

Please charge to my Credit Card

  
 

Please...

 automatically from my Credit Card 8 weeks before the start of the holiday.

Card Type

Card Number

Valid from

Expiry date

Name on card

 

Switch Issue No:

          3 digit Card Security Code.

Cardholder’s signature only:

          (On the back of your card)

If the signature is not that of the Hirer detailed above, 
please give Cardholder’s Name and Address below.

Title:

Initial:

Surname:

Address:

Post Code:
   Please print this form, then sign it and fax to 0845 126 4099
(Overseas 01905 616715) or post to: UK Boat Hire, PO Box 232, Worcester. WR1 2SD