Around the World in 8080 Days

 

Booking Form

 

Click here to print this page

 

Full Name:

Mr/Mrs/Miss/Ms

 

Date of Birth:

M/F

Address:

 

 

 

 

 

Postcode/Zip:

 

Tel Home

Tel Work:

 

Email :

Fax:

 

Nationality:

Passport No:

 

Passport expiry date

Place of issue:

 

Please reserve a berth - dates

From:

To:

 Number of Days

 

I would like to book for the Charter, Holiday,Course or Cruise :-

 

 

 

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. 

/$

 

/$

Total

Cheques payable to M Holroyd

/$

 

SAILING QUALIFICATIONS (Details of your sailing qualifications/experience also whether you can swim)

 

 

 

SPECIAL DIETARY REQUIREMENTS (Please give details of any special dietary requirements)

 

 

 

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)

 

 

 

SHORE BASED CONTACT

(Please give the details of a close friend or relative who could act as a contact while you are away)

Name:

 

Address:

 

Tel:

 

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.

SIGNATURE

 

Date: