MIDDLEWICH NARROWBOATS - BOOKING FORM
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Booking No. ........... (Office use only)C1

1. WE REQUIRE
Boat Name(s) Number of Weeks OR Number of Nights Starting Friday (date) OR Starting Saturday (date) OR Starting Midweek (date) Number of Adults (over 18 years) Number of Children and Ages
1)
2)
3)		              

NOTES: 1. Please confirm that your dates are available before booking. 2.Youth Groups please note that a minimum of 2 leaders (age 21 or over) are required per 12 berth boat.
2. I ENCLOSE REMITTANCE FOR;
DEPOSIT of 25% (to nearest £1) of Hire Charge of £.......... as shown in the price list. £ ............
Damage Waiver Fee of £40 (if full payment) £ ............
HARDSHIP CANCELLATION INSURANCE fee of 50p for every £10 of hire charge (to nearest £10). Minimum fee £40.00. Show names and addresses of all people to be covered in section 7. This is strongly recommended. £ ............
OR I do not wish for any Cancellation Insurance and understand that if I cancel the booking, the balance of the Hire Charge must still be paid unless the boat is re-booked.  
TOTAL £ ............
Please use my Credit or Debit Card Card Type ................
 Card Number:................................................
I enclose a cheque (Sterling only). Expiry Date ......./........
(MM/YY)		 Name on Card ..............................................
3. MY DETAILS (BLOCK CAPITALS PLEASE)
FULL NAME Mr./Mrs./Miss etc.......................... .......................... ..........................
ADDRESS.......................... .......................... .......................... .......................... ..........................
POSTCODE.................................. OCCUPATION......................................... EMAIL:...................................
TEL NO. EVENING:.................................. DAY (please complete):............................................. MOBILE:..................................
4. CRUISING EXPERIENCE. Tick relevant column to indicate if any of your party have had experience of handling narrowboats on canal and give brief details and dates please. NO........ YES...... Details................................................................
5. I am over 18 and have read, understood and agree to be bound by the Conditions of Hire in this on-line brochure. I also agree to pay the balance of hire fees not later than six weeks before the start of my holiday. SIGNED. ........................... .......................... DATE. ..........................
6. PLEASE SAY HOW YOU HEARD OF MIDDLEWICH NARROWBOATS
I am a previous customer....... I have seen your boats........ Recommended by.....................Advert seen in............................Other (please specify)................................
7. PARTY NAMES & ADDRESSES. Please enter the names and addresses of all members of your party. BLOCK CAPITALS PLEASE.
1.. ........................... ..........................
2.. ........................... ..........................
3.. ........................... ..........................
4.. ........................... ..........................
5.. ........................... ..........................
6.. ........................... ..........................
 7.. ........................... ..........................
8.. ........................... ..........................
9.. ........................... ..........................
10.. ........................... ..........................
11.. ........................... ..........................
12.. ........................... ..........................
8. OPTIONAL EXTRAS TO BE DEBITED TO ACCOUNT. Please note extras once booked cannot be cancelled.
Number required: Item(s) Cost/Week Payment
  Cotside for baby FREE -
  1 Buckby can for traditional style boat only (free with £70 returnable damage deposit) £70.00 -
  DVD/CD player £25.00 -
  TOTAL
   £_____
Middlewich Narrowboats, Canal Terrace, Middlewich, Cheshire. CW10 9BD
Phone: +44 (0) 1606 832460 Fax: +44 (0) 1606 737912

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