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Around the World in 8080 Days |
Booking Form |
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Full Name: Mr/Mrs/Miss/Ms |
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Date of Birth: M/F |
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Address: |
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Postcode/Zip: |
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Tel
Home |
Tel Work: |
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Email
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Fax: |
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Nationality: |
Passport No: |
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Passport expiry date |
Place
of issue: |
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Please
reserve a berth - dates |
From: |
To: |
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Number of Days |
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I would like to book for the Charter, Holiday,Course or Cruise :- |
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Deposit/Balance
Security Deposit |
Deposit is 30% of the total price. Balance required 60 days in advance
Only when required - see web site "Bookings" for full details. |
£/$
£/$ |
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Total |
Cheques payable to M
Holroyd |
£/$ |
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SAILING QUALIFICATIONS (Details
of your sailing qualifications/experience – also whether you can swim)
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SPECIAL DIETARY REQUIREMENTS (Please give details of any special dietary
requirements)
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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)
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SHORE BASED CONTACT (Please give the details of a close friend or relative who could act as a contact while you are away) |
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Name: |
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Address: |
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Tel: |
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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. I have read the booking conditions on the web site,
agree that my booking is subject to those conditions, have arranged adequate
health, travel and cancellation insurance.
All information given is correct.
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SIGNATURE |
Date: |
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