2014 BOOKING FORM
BOAT NAME
DATE OF COLLECTION
Date
Time
DATE OF RETURN
Date:
Time
Home:
Mobile:
CONTACT PHONE NUMBERS
YOUR PARTY
OTHER PARTY NAMES (PLUS AGES OF ANY-ONE UNDER 21)
NAME
Age
NAME
Age
YOUR LEAD BOOKING NAME
Home Address
Email Address:
Car Registrations:
Are you bringing any pets, please
include details:
Number of days or weekend hire
Did you include Evening Collection or Morning
return?
Midweek Booking Discount
Any other special details we should be aware of?
These are the no of days from 9am day 1 until
5pm final day before adding eve
collection/morning return or put W/E for the
weekend price
£
Add amount if required
£
Do you want CDW
Day Hire Security Deposit is £100
Holiday breaks Monday to Friday – deduct 5% from
days hire
Add price as per box below left if you do. Note we will
make a refundable £450 security deposit charge to
your card if not taken for overnight hires. If taken
this is reduced to £100.
Collision Damage Waiver (CDW) is available:
Riverdance/Sundance £35,
Jozel £40, Melody/Pheran Too £50 Avalon £65
TOTAL AMOUNT
£
£
£
DEPOSIT DUE 25% OF ABOVE
PAYMENT METHOD – CHEQUE
PAYMENT METHOD - VISA
Card No
Start date…………… Expiry Date……………. Issue no (if
applicable)………Security code……………
(Last 3 digits on signature strip on reverse)
Name on Card
Booking Form
And Card Holder Signature
£
I enclose a cheque payable to Cotswold Boat Hire for the deposit of 25 % (full
amount if booking within 21 days/day hire). I will forward the balance and
security deposit details to reach you no later than 21 days before collection as
per the confirmation invoice you will send.
I authorize you to debit my credit/debit card with a 25% deposit (full amount if
booking within 21 days). I understand you will then debit my card with the
balance on or after 21 days before boat collection. The amount will be shown on
the confirmation invoice.
We accept the terms and condition of Hire:
(If applicable)
Print and post to: Cotswold Boat Hire, 19 Berton Close, Blunsdon, SWINDON - SN26 7BE
VAT INCLUDED AT APPLICABLE RATE
VAT REG NO 868 7609 60