UK Boat Hire Booking Form

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)

Title:

Initial:

Surname:

Address:

Home Phone No:	Work Phone No:	Mobile Phone No:	Email address:

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

Crew	Names	First line of address	Postcode	Age if under 18
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

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, £1.50 P & P):	Boating DVD (UK only, £0.85 P & P)	Guide Book (Please use Order Ref:)	Guide Book (Please use Order Ref:)

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

How did you hear about us?

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

Choice of Boats and Dates

Hire Base:	Boat Class:	Booking Reference No:

Starting Date:

Finishing Date:	Duration:

Please note that there is a Credit Card charge of 1% per transaction. There is no charge for Debit Cards. Please make cheques payable to UK Boat Hire Limited.

A. Basic Brochure Price	F. Additional Pet(s)
B. Offers/Discount/Token claimed (details)	G. Optional High Level Berth
C. Personal Holiday Ins. (PHI)	H. Cancellation Protection Plan (CPP)
D. Mobile Phone Hire	I. Green Donation
E. Maps & Guides	J. Accidental Damage Waiver	£45.00

Holiday Total	Payments required now: 25% deposit of holiday price (A), plus items C, E & H.

Please charge my initial payment to my Credit/Debit Card now.
Please also charge the whole of the balance (plus any additional items then due) to my credit/debit card eight weeks before the start date of my holiday.
Please charge the full cost of my holiday now.
Easy Pay ( Click here for details) (Available until 31 st December 2007).

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)

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