Booking form

To confirm your booking, please fill out this form, you will then be redirected to a page which will allow you to choose a payment method (bank card, cheque or transfer).

If you have any question, please do not hesitate to contact us.

Captain's details

Surname: *

First name: *

Date of birth: *

Address: *

Address 2:

Postal code: *

Town: *

Country: *

Tel: *

Tel 2:

Mobile Tel:

Email: **

The other participants

First name, surname, and date of birth of all the other participants:

First name and surname 2:

Date of birth 2:

First name and surname 3:

Date of birth 3:

First name and surname 4:

Date of birth 4:

First name and surname 5:

Date of birth 5:

First name and surname 6:

Date of birth 6:

First name and surname 7:

Date of birth 7:

First name and surname 8:

Date of birth 8:

First name and surname 9:

Date of birth 9:

First name and surname 10:

Date of birth 10:

First name and surname 11:

Date of birth 11:

First name and surname 12:

Date of birth 12:

NB, only the participants registered will benefit from the cancellation insurance.

Your cruise

Contract number: **

Boat:

Other:

Departure date: *

Arrival date: *

Departure point: *

Arrival point: *

Rental amount (Euros)

Rental amount (€): *

Cancellation insurance (€, 4,5 %, optional, cancellation insurance, to pay fully when booking):

Amount of the deposit (40% or 50% of the rental price depending on the chosen boat + cancellation insurance, in €, not available for boating holidays planned in less than 6 weeks):: *

Description and price of other options (optional):

Option 1:

Price (€):

Option 2:

Price (€):

Option 3:

Price (€):

TOTAL upon booking (€, rental + supplements): *

Balance to be paid 6 weeks before departure (€, total - deposit): *

Some possible options (bicycles, parking, ...) and gasoline will have to be paid directly to the base of departure during your cruise.
You will also have to leave a deposit which will be restored to you at your return.
If you have any further queries, please do not hesitate to contact us.

Confirmation

I declare that I have read the general rental conditions, I accept them and undertake to respect them.

Date: *

Confirmation: *