Booking form

In order to book, pleas fill this form. You will then be redirected to a page describing the different ways to pay.

Captain's details

Surname :

Firstname :

Date of birth :

Address :

Address 2 :

Postal code :

Town :

Country :

Tel :

Tel 2 :

Tel mobile :

Email :

The other participants

Surname and first name, and date of birth of all the other participants :

Firstname and Lastname 2 :

Date of birth 2 :

Firstname and Lastname 3 :

Date of birth 3 :

Firstname and Lastname 4 :

Date of birth 4 :

Firstname and Lastname 5 :

Date of birth 5 :

Firstname and Lastname 6 :

Date of birth 6 :

Firstname and Lastname 7 :

Date of birth 7 :

Firstname and Lastname 8 :

Date of birth 8 :

Firstname and Lastname 9 :

Date of birth 9 :

Firstname and Lastname 10 :

Date of birth 10 :

Firstname and Lastname 11 :

Date of birth 11 :

Firstname and Lastname 12 :

Date of birth 12 :

NB, only the participants registered will benefit from the insurance for cancellation.

Your cruise

Contract number :

Boat :

Other :

Departure date :

Arrival date :

Departure point :

Arrival point :

Arrival point (in Euros)

Rental of the boat :

Rental : €

Deposit of 40 % of the rental :

Deposit : €

Cancellation insurance (3,5%, optional - insurance for cancellation)

Insurance for cancellation : €

Sailing plan (optional, sent upon confirmation of the booking) :

Guide fluvial :

Title and price of other options (optional) :

Option 1 :

Price : €

Option 2 :

Price : €

Option 3 :

Price : €

TOTAL upon booking (rental + supplements) :

Total : €

Remainder to be paid 6 weeks before departure (total - deposit) :

Solde : €

Some possible options (bicycles, parking, ...) and gasoline will have to be paid directly to the base of departure during your cruise.
You will also have to leave a deposit which will be restored to you at your return.

Confirmation

I declare that I have read the general rental conditions, I accept them and undertake to respect them.

Confirmation :

Date :

Your boat

Your cruise

Essentials

For you

Booking form