ONLINE SECURE BOOKING FORM

Please reserve		Please select beds required in the centre cabin for our boats: Cedar / Maple / Oak / Countess / Empress / Princess
Monday or Friday Boat	or
Saturday or Tuesday Boat	or
Starting Day	to
Date	to
Finishing Day
Date

Cost (pounds sterling) £ (We always check to see you have all the discounts you are entitled to.)
Crew Numbers: Adult Males	Adult Females	Children	Dogs
Is this a Family Group?
I enclose my deposit being one fifth (20%) of the hire fee. Deposit £ or full payment if within 4 weeks.
I wish to make my payment by credit/debit Card Type (We don't accept Diners Card or American Express)
Card Number
Issue Date Expiry Date
Issue No. (if appropriate) Security Code (The last 3 numbers on the reverse of your credit card)
Please tell us if you want the balance of your hire fees to be taken from your credit card four weeks before the start of your holiday. If booking within 4 weeks full payment will automatically be taken.

Name & Address inc Postcode for booking confirmation

Name & Address inc Postcode of Cardholder if different

Telephone	Mobile
Email Address
Previous canal experience	If YES Year	Canal
I have hired before from Wyvern Shipping	Year if YES
Other Boating Experience
I was recommended by	NAME if Travel Agent
OR I first saw your advert in	Details if OTHER

Cancellation Scheme Please complete the boxes below if you want to take out our Cancellation Scheme. Do you wish to make use of this service? Remember without this scheme you will be liable to pay the whole hire fee if you cancel and we are unable to re-let your holiday.
Full names of all crew members. Please add ages if under 18.
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5
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9

Cancellation Scheme Premiums - find premium associated with your Total Holiday Cost including deposit.
Up to £400	£20	£401 to £500	£23	£501 to £600	£26	£601 to £700	£29	£701 to £800	£32
£801 to £900	£35	£901 to £1000	£38	£1001 to £1100	£41	£1101 to £1200	£44	£1201 to £1300	£47
£1301 to £1400	£50	£1401 to £1500	£53	£1501 to £1600	£56	£1601 to £1700	£59	£1701 to £1800	£62
For each subsequent £100 add £3 to the premium.

Cancellation Scheme Premium

Take from credit card?

I am over 21 years of age and I have read and agree to be bound by your conditions of hire.

Would you like to receive a copy of our 28 page colour brochure?

Opening Hours
Summer Hours Our booking office is open 9.00am to 5.30pm Monday to Saturday, but closed all day Sunday.
Winter Hours Monday to Friday 9.00a.m. to 5.30pm
Winter Viewing Weekends Available 2nd weekend of each month in January, February and March. Open Saturday and Sunday 11am to 4 pm

The Wyvern Shipping Co Limited
Booking Office: Rothschild Road, Linslade, Leighton Buzzard, Bedfordshire LU7 2TF
Telephone: (01525) 372355 – International: 441525 372355
Fax: (01525) 852308 – International: 441525 852308
E-mail: enquiries@canalholidays.co.uk
Directors: Mr E. J. Griffin : Mr & Mrs J. C. Griffin : Mrs M. A. Griffin
Registered in England, Company Reg No: 00528254

The Wyvern Shipping Co Limited
Rothschild Road, Linslade, Leighton Buzzard, Bedfordshire, LU7 2TF
Telephone: +44 (0) 1525 372355 Fax: +44 (0) 1525 852308 Email:
Directors: Mr. E J Griffin, Mr. & Mrs. J C Griffin, Mrs. M A Griffin

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