Booking Request Form
●
PRINT THIS FORM OUT, FILL
IN & SEND TO THE ADDRESS BELOW WITH YOUR
DEPOSIT.
●
Please check our
Price charts or
telephone or
e-mail for availability before
completing any form.
●
If you are using a credit
or debit card we recommend you use our
SECURE ONLINE BOOKING FORM.
Personal Details
Booking Number _________ (Office use
only)
Name
Boat & Date Details
Address
Boat Name
Date of start
Post code
No. of weeks
Tel no. (Home)
No. of nights (short break)
(Work)
No. of adults
(Mobile)
No. of children (under 18)
E-mail address
No. of Pets (£25 per pet. Max 3)
Previous narrowboating experience using
locks Yes/No
Do you require
cancellation insurance Yes/No (5% of hire charge — min. fee £45)
Maps/Guides Required
Pearsons Guides £10.95 inc P&P
Nicholsons £14.95 inc P&P
Lockmaster £6.75 inc P&P
Route Planner £4.25 inc P&P
Payment details
I enclose remittance for initial
payment:
Or full payment
£
Deposit of 25% of hire charge
£
Cancellation insurance
£
(If applicable)
Maps & guides (total)
£
Total
£
I enclose cheque payable
to Middlewich Narrowboats or please charge my debit/credit card.
(If you are using a credit or debit card we recommend you use our
SECURE ONLINE BOOKING FORM.)
Credit card payments
Card No;
Please debit initial payment only
Comm. Date;
Expiry Date;
Please debit full amount
Issue No. (Switch cards only);
Please debit balance six weeks
before the start of my holiday
Security Number (last 3 digits on back of card);
How did you hear about us?;
I confirm that I have read and
understood Willow Wren Kearns T/A Middlewich Narrowboats
Standard
Terms & Conditions of Hire and agree to be bound by them in all
aspects and to pay the balance of hire fees no later than six weeks
before the start of my holiday.
Signed
Dated
Other Passenger Details - Please enter names & addresses of
all members of the crew.
