Booking Form Long Term Hire Only from 2016/17- rate on request. FISHER KING (2-3 berth Details Here)TIME OUT (2/4 berth. Details Here) RIVER DANCER (2/4 berth Details Here) JAMES GILL (6+2 berth Details Here) Date of hire From Sat/Wed To Sat/Wed My Party consists of Adults Children Please state children’s ages Second Choice Boat In the event that your chosen holiday or boat is pre-booked, please fill out our second choice section. Thank you. FISHER KINGTIME OUT RIVER DANCER JAMES GILL Date of hire From Sat/Wed To Sat/Wed Please use this box for any Additional Information Your Details Name Your Address 1 Surname Address 2 City Email Post/ Zip Code Fax Number State/ Province Tel Number Country Methods of Payment Please choose a method of payment: If paying by Cheque (Make all cheques payable to Canalways Ireland Ltd.) If paying by International Bank Transfer / SEPA (Single European Payments Area) Our bank details will be emailed to you. All payments to be made in the [ ] euro currency Total Hire Fee Deposit Fee Click here to see our rates Do you require Cancellation Insurance (4 % of hire rate)? Yes No Will you require Airport Transfer ? Yes No Please note: Balance is due 8 weeks prior to the start of your holiday Postal Address is: Canalways Ireland Rathangan, County Kildare Ireland. Extra Information Please note this information is for booking purposes Payment will be due on arrival and is not included in the above order. No of Bicycles: Total Max no of bicycles per boat is 4 No of Fishing Rods: Total Where did you hear about Canalways Ireland Magazine Details? Tourist Board Details? Internet Details? Friend Details? Other Details? Please state your previous boating experience if any. Do you have questions for us. If so please use this box and we will contact you as soon as possible By submitting this information, you agree to pay all charges applied by Canalways Ireland in connection with your use of our services. Click here to read our Terms and Conditions of Hire Please tick this box to confirm that you have read and agree to our Terms and Conditions. Thank you for using this form. Top Contact us now for further details International: (Tel) +353 87 2433879 (office) +353 45 524646 E-mail canalholidays@eircom.net Tel. 087 2433879
