Adelaide Logo Lee Valley Boat Centre - Booking Form
Please print out this form and send to us with your deposit.
Lee Valley
North East
London
IMPORTANT: Make sure you read our of Terms and Conditions before booking.
PLEASE CHECK AVAILABILITY BY PHONE OR EMAIL BEFORE BOOKING.
If you are paying by Credit Card please use our SECURE ONLINE BOOKING FORM.

BOOKING REF ______________

NAME ______________  ______________  ______________
ADDRESS ______________
 ______________  ______________
 ______________
 ______________  ______________
 ______________
 ______________  ______________
 ______________
 ______________  ______________
PHONE HOME:   ______________

WORK:  ______________
MOBILE:  ______________

Tick MAPS Price
  LEE & STORT 4.25
  GRAND UNION SOUTH 5.00
  THAMES 5.00
  LONDON RING 1.25
We will post these to you if you include payment to Lee Valley Boat Centre Ltd
BOAT NAME: __________________ BOAT REFERENCE BCG _____
BASE: ___________  FROM: (Date) ______ TO: (Date) _______
NUMBER IN PARTY: Aged 12 and Under ____ 13 to 21 years:___  Total in Party:___
BEDDING REQUIREMENTS: Doubles ____ Singles ____
HIRE COST: £______ + DAMAGE WAIVER: £ _______ TOTAL COST: £____
INITIAL PAYMENT: £  (See table below)
 
WRITE THE NAME OF EACH PERSON IN THE PARTY - ALSO AGE IF UNDER 21
(If known at time of booking.)
Title Initial Surname Age   Title Initial Surname Age
                 
                 
                 
                 
                 
                 
I enclose £______ being the deposit (or full payment if within 8 weeks) by cheque to LEE VALLEY BOAT CENTRE Ltd
Please Note: If you are paying by credit card we recommend you use our ONLINE SECURE BOOKING FORM .
Or please charge my Debit/Visa/Mastercard or Switch Card No: ________ (Up to 2% will be charged on credit card payments.) Expiry Date:________ Issue/Valid from date:_______
Security No: _____(Last 3 digits on reverse of card)
If cardholders address different to the above, then please give that address as well.
______________________ 

I declare that I am over 18 years of age. I accept the Term & Conditions under which this booking is made on behalf of myself and all those travelling on the boat. I have filled in all details on this form, especially bedding details. Please deduct from my credit card (if applicable.)
Signature: _________________ Date: ____________

INITIAL PAYMENT TO SEND WITH YOUR BOOKING FORM / BOAT, / WEEK OR PART WEEK.
For holidays of more than one week, each week or part week is treated separately for the initial payment.
Brochure Price Initial Payment   Brochure Price Initial Payment
£287 - £346 £100   £832 - £1071 £160
£347 - £421 £110   £1072 £1281 £170
£422 - £536 £130   £1282 - £1651 £190
£537 - £666 £140   £1652 - £2131 £210
£667 - £831 £150   £2132 and over £250
HOW DID YOU HEAR OF US ? __________________
Please send the completed Booking Form, with correct deposit, to the address  below.
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Lee Valley Boat Centre
Old Nazeing Rd.
Broxbourne
Herts. EN10 6LX
Tel. 01992 462085