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Yacht Charters
Sailing holidays -  Around the World in 8080 Days

 

Booking Form - Sailing Holiday Charter or Course

Book Your Sailing Holiday, Charter, Crewed Yachting Holiday and RYA Practical and Theory Courses, Sailboat Charter, Bare Boat Cruise, RYA Sailing Courses in Langkawi, Malaysia - Phuket, Thailand - Asia


If you have already confirmed your dates by email with us, have read the terms and conditions(How to Book)and are ready to make your payment and confirm your booking please complete the form below. We will reply as quickly as possible but please bear in mind that as we are often at sea it may not be possible to reply the same day.

Full Terms and Conditions are available on How to Book and Booking Form

Please complete all boxes marked *and preferably all boxes as the form may not send and we will need this information while you are on board.

Surname:
* First Name:
*
Title: Date of Birth:

From:
Your Email:

* Phone incl Int Code:
Counrty of Residence: Nationality:
Subject: * People in Your Party:
Passport No: Male-Female
Passport Place of Issue: Passport Expiry Date:
I wish to Join at: * I wish to depart at *
The Start Date is: * Completion Date is: *
No of Days: * Can You Swim:
I wish to pay by: * Amount Paid: *

SHORE BASED CONTACT

Please give the name, address, phone no, and email of a close friend or relative who could act as a contact while you are away and in casde of emergencies*

 

SPECIAL DIETARY REQUIREMENTS

Please give details of any special dietary requirements:

 

 

Qualifications

Please provide details your current sailing experience, mileage saled and/or current qualifications:

MEDICAL CONDITIONS

Please confirm that you are physically fit and give details of any recurring medical problems an/or details of any medication currently being taken:*

 

 

 

Type verification image:
verification image, type it in the box

Message:*

Liability

We do not accept responsibility for any loss, damage or injury suffered by persons and/or their property arising out of or during the course of their activities whilst sailing, training and/or coaching and/or instructing unless such injury loss or damage was caused by, or resulted from negligence or deliberate act.

Please complete all boxes marked *and preferably all boxes as the form may not send and we will need this information while you are on board.

If the form does not work for any reason -
Click to Email Us

 

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Copyright © 1995 - 2011 by Mark Holroyd


Web Page Design and Administration: Mark Holroyd - Last update: Oct 2011
Yacht Charters, Learn to Sail Sailing Holidays, RYA Sailing Courses in Asia - Langkawi Malaysia Phuket Thailand


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