Booking Form
- print out, complete and send with your deposit to:
AQUA NARROWBOAT HIRE, The Workshop, Mercia Marina, Findern Lane,
Willington, Derbyshire DE65 6DW.
Please make cheques payable to Aqua Narrowboat Hire.
HIRER DETAILS
Name
Address
Postcode
Tel (day)
Tel (eve)
Mobile
E-mail
Previous narrowboating
experience (if any):
Buoyancy Aid Required?
Weight if YES
PLEASE RESERVE Aqua Vie 4/6 Berth*- Aqua Vita 4/6 berth* - H3O
2/4 Berth*
(*delete as applicable)
Start date:
______________ at 3/4 pm
End date:
______________ at 9/10 am
CREW DETAILS (OTHER
THAN HIRER)
1
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
2
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
3
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
4
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
5
Name
Age (if under 18)
Buoyancy aid
required?
Address
Weight if YES
Previous
narrowboating experience (if any):
Number of Pets
(Please add £35 for one pet, £50 for two per holiday to hire
fee.)
SKIPPER
(If not the main Hirer above)
Please indicate which member of the crew will receive tuition &
boat walkthrough on the day. This person will be responsible for
the safety of both the crew & boat.
Name:
VEHICLE DETAILS (Maximum of two per boat)
1
Make:
Model:
Reg. No.:
Colour:
2
Make:
Model:
Reg. No.:
Colour:
PAYMENT DETAILS (Cheques payable to Aqua Narrowboat Hire)
Week One
£
Week Two
£
Including 10%
discount for June/July/August or 15% at all other times.
Pets
£
£35 for one
£50 for two pets
Total
£
20% Deposit
£
To be returned
with booking form.
Balance + Damage
Waiver
£
To be paid at
least six weeks prior to holiday. Non-returnable Damage Waiver
of £40 required or £150 security deposit for winter bookings
only.
HIRER'S STATEMENT
I
am over 21 years old I
have read and agree to abide by the
Conditions of Hire. I
agree to the named ‘Skipper’, if not myself, to receive tuition &
boat walkthrough. I understand that the ‘Skipper’ will be
responsible for the safety of both crew and boat. The
‘Skipper’ has also read the Conditions of
Hire. I
understand that personal holiday Insurance is not provided by Aqua
Narrowboat Hire. I
agree not to carry any other persons than those named on this
booking form. Please note: We do not take bookings from all male or female
parties without prior consent.
Signed
Date
Marketing Information – Where did you hear about us?
Please tick.
Internet:
Google
Canal Junction
Other (please
state)
Other:
Waterways World
Tourism Board
Marina
Recommendation
Other (please state)
AQUA
NARROWBOAT HIRE
Mercia Marina
Willington
Derbyshire DE65
6DW
TEL & FAX 01283 701041
Email
admin@aquanarrowboathire.com
I
am over 21 years old 