To use this SECURE PAYMENT form you will need to already have a provisonal booking reference number. Please complete the details of your provisional booking together with your personal details and select the options that you require. You may then enter your debit/credit card payment details at the end of this form. We will only debit your card on confirmation of your booking to you in advance.
STEP 1  - DETAILS OF YOUR SELECTED HOLIDAY
Name of chosen boat
Start date of your holiday REQUIRED
Hire Base
End date of your holiday REQUIRED
Basic Hire Charge  
£
Booking ref. REQUIRED
STEP 2  - PLEASE COMPLETE YOUR DETAILS
Full name & title:
Tel. (Day) REQUIRED
Your Address:
Tel. (Evening)
Email address REQUIRED
Postcode:
Mobile Phone No. (Optional)
Message:
Fax
Please tell us how you heard of us: REQUIRED

I declare I am over 21 years of age & I have read and agree to be bound by UK Boat Hire Boat Centres Ltd terms and conditions of hire.  REQUIRED
STEP 3  - CREW DETAILS
Total No. of Adults REQUIRED
Total Number of under 16's (include infants) REQUIRED
Name of Each Crew Member











House Number/Name











Postcode (If different from above)











Have you been narrowboating before? REQUIRED Yes    No
STEP 3a  - PETS   (Please let us know if you are bringing any pets - Each pet is £25)
You are welcome to bring up to two well behaved pets at a small additional cost of £25 per pet.
It may be possible to bring a third pet on selected boats at an additional charge of £25 by prior arrangement. Please complete the pet section right and also under STEP 6 BELOW as applicable
STEP 4  - BEDDING REQUIREMENTS   (Please state number and type of berths required)
 Doubles          Singles          Pipe beds        Free standing cot (cannot be used on all boats)   Cot side
Please note that freestanding cots and pipe cots and cot sides are not available on all boats
STEP 5  - OPTIONAL EXTRAS
Maps & Guides (Click for list/prices & add ref codes)        (Add cost to STEP 6 BOX E below)
PERSONAL INSURANCE (UK RESIDENTS ONLY)  (Optional but strongly recommended)
     It is recommended that you have personal holiday insurance. Please tick box and we will send you full details.
CANCELLATION PROTECTION SCHEME  (REQUIRED - CLICK HERE FOR DETAILS)
 YES, I require the cancellation protection scheme    PLEASE REMOVE TICK IF NOT REQUIRED.
STEP 6  - YOUR TOTAL HOLIDAY COST (Full payment is required if booking within 8 weeks of holiday start date)
Basic Hire Charge
(Call us if you require more than 1 week )
£     A Optional Pet Charge £    G
Optional High level Bunks £    B 25% of Basic Hire Charge A £    H
Compulsory cancellation protection plan at 4% of Hire Charge £    C Voluntary Green Donation
(Suggested £5)
£     I
Fuel Deposit** £    D Select duration Initial Payment £    C+D+F+G+H
Compulsory accidental Damage Waiver £    E Total Cost £    A+B+C+D+E+F+G+H+I
Books & Maps £    F Please enter cost (add £1.25 per item for overseas postage)

** The boat is ready fuelled for your holiday on arrival, but there is a fuel deposit payable with your holiday booking. This is £85 per week and £50 per short break  as the cost of fuel is not included in the hire cost. When you return the boat to us the balance is refundable after deducting fuel used. However if you have used fuel in excess of the deposit you will be asked to pay the difference.
STEP 6a  - OPTIONAL SECURE ONLINE PAYMENT 
(Optional SECURE debit/credit card payment can be made by completing details below OR leave blank & we will contact you to arrange payment by cheque, postal order or bankers draft)
Debit/Credit Card Number

NB. 2% surcharge for credit card transactions.
No charge for debit card transactions.
Debit/Credit Card Type (tick) Visa Debit Visa Credit
Maestro/Switch MasterCard
Delta
Name on Card
Address of Card holder if different from above.
Card Valid From Date
(mm/yy)
Card Expiry
(mm/yy)
  Issue Number
(Switch)
 
Card Security Code (last 3 digits on reverse)
       
I authorise UK Boat Hire to charge the INITIAL PAYMENT (above) to this debit/credit card. I understand that no money will be taken until my booking request is confirmed by UK Boat Hire.
I also authorise UK Boat Hire to charge the BALANCE PAYMENT to this debit/credit card 8 weeks before the start date of my holiday
I authorise UK Boat Hire to charge the TOTAL COST (above) of my holiday to this debit/credit card now. I understand that no money will be taken until my booking request is confirmed by UK Boat Hire.
I want to take advantage of the Easy-Pay Scheme - Available for bookings made before 31st December for the following year. Your holiday cost is taken in equal monthly payments commencing the 1st day of the month after making your booking. Final payment on the 1st day of the month that falls not less than 8 weeks prior to the start of your holiday. Prices above will be automatically adjusted based on the Easy-Pay installments and the first instalment will be taken using your card details supplied above.
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