Teddesley Boat Company - booking form

Name
Address

	Post Code
Home Phone No	Business Phone No.
Email Address
Name of Boat
From	To
Number of nights/weeks
Signature
Proof of insurance cover must be provided at the time of booking or cancellation charges will be added to your invoice.
TICK IF YOU DO NOT REQUIRE OUR CANCELLATION PLAN

Pets £35 per week each

Please advise the quantities required for;	Double Berths
Please advise the quantities required for;	Single Berths
Names of other crew members	(Ages of children under 18 required)
1
2
3
4
5
6
7

Date
I enclose a deposit of (25% of the hire charge)	£
Maps and Guides	£
Cheque number
TOTAL	£
Please make cheques payable to TEDDESLEY BOAT CO.
British Waterways Boaters Code Video
Boaters Code CD-ROM

Balance due 6 weeks before Holiday Start Date.

I wish to pay the deposit/whole amount by Debit/Credit card. YES

(2% charge for credit cards only)

Credit/Debit Card Number

Card Expires End

(MM/YY)

Switch Issue No.

Card Security Code

I wish to pay the damage waiver (Non refundable) £35.00 per week booked. £55/week for 8 berth boat..	Tick if YES
I wish to pay the security deposit - £500/week	Tick if YES

Please could you assist us by answering the questions below.

Have you been canal boating before? YES/NO
Have you been cruising with us before? YES/NO

How did you find out about us?

Estimated time of arrival;

If you wish to order Map & Guides for your holiday please click here

TEDDESLEY BOAT CO., Park Gate Lock, Penkridge, Staffordshire ST19 5RH
Telephone; 01785 714692 Fax; 01785 714894 Email; teddesley@narrowboats.co.uk


Print this form out then fill it in and return it to us, with your deposit or card details, at the address at the bottom. PLEASE COMPLETE ALL SECTIONS IN BLOCK CAPITALS.