BOOKING FORM
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PICK A DATE
X shows Dates
already Booked. |
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| FULL
NAME |
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ADDRESS |
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POSTCODE |
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EMAIL |
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TEL.
HOME |
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TEL. MOBILE |
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TOTAL NUMBER OF PEOPLE
(12 guests max) | |
ADULTS
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UNDER 12s
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| WE
WISH TO BRING OUR PET(S) |
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WE HEARD OF YOU THROUGH |
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HAVE YOU BOOKED BEFORE |
(tick box) |
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Payment Details |
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By
submitting this form I authorise Lyons Boat Yard to deduct the
Total Initial Amount
shown above from my credit card account,
details of which are shown below.
Damage waiver £250 by card details but will only be used if needed.
Start at 9:00am and Return at 5:00pm
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| CARD
TYPE |
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CARD
NUMBER |
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| NAME
ON CARD |
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EXPIRY DATE |
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SWITCH CARDS ONLY
ISSUE NUMBER |
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START DATE |
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CARD SECURITY CODE |
(Last 3 digits of the reverse of your card) |
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I declare that I am over 21 years
of age, and have read the conditions of hire, and agree to be
held responsible for the balance of hire in accordance with
those conditions. |
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