Elite Sailing Booking Form                                         (To print, hit your browsers print button)

To discuss availability or to make a provisional booking phone 01634 890512 or 07802 670105

Mr/Mrs/Ms ………………………………………………………………………………….……

Address ……………………………………………………………………………………….

……………………………………………………… Post Code ……………………………….

Telephone: Day: ………………… Eve …………………... Email ……………….………..

Date of Birth ………………………………………. Nationality ………………………………

Emergency contact name and telephone number …………………………………………………

Please reserve ………………..places on the following cruise, charter or course(s): (please indicate exact course as described in the price list)

………………………………………………………………………………………………………

Starting on ……………………………. Finishing on ………………………………………..

Names of others on whose behalf you are booking: ………………………………………………

………………………………………………………………………………………………………
(For multiple bookings we still need a form signed by each individual giving contact details and medical conditions etc)

Do you require oilskins? (Add £10 fee unless included in price) (yes/no) …………
If yes, please state your height …………

Special dietary needs. ……………………………………………………………………………..

Details of any medical conditions (including disability, epilepsy, giddy spells, asthma, diabetes, angina or any other heart conditions) and/or treatment being received:

………………………………………………………………………………………………………

I have honestly declared all relevant medical conditions and consider myself fit to sail.

I accept the published Elite Sailing Booking Conditions.

I enclose my cheque for ……………………as deposit (25%, min £50)

Or: Please charge deposit and balance payments (when due)* to my debit/credit card type: .............
Card Number
                               

Start Date
       

3 digit Security code (rear of card)
     

Expiry Date (mmyy)
       

Issue Nr (For Maestro/Switch)
 

* If you wish to pay only the deposit by card, please delete the words 'and balance payments (when due)'.

Signature:                                                                         Date:

W e would be very grateful if you would indicate how you first found Elite Sailing :

Search Engine      Via  RYA Website     YM Ad     Poster         Personal Contact       Other:


Return to: Elite Sailing, Chatham Maritime Marina, Leviathan Way, Chatham, Kent ME4 4LP
Telephone 01634 890512    Mobile 07802 670105    Email sue@elitesailing.co.uk