Norbury Wharf Limited.
The Wharf, NORBURY JUNCTION, Staffordshire. ST20 0PN.
Telephone: (01785) 284292.
E-mail: info@norburywharfltd.co.uk.

Booking form


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Booking form

Please highlight the form below and print the selection only. Complete the form and send it with your deposit/full payment to: Norbury Wharf Limited, The Wharf, NORBURY JUNCTION. Staffordshire. ST20 0PN.

Name

Address

 

 

Postcode

  

Telephone number

  

 

Mobile number

  

 

Hire dates (from – to)

  

 

Name of boat

  

Total number of persons

Crew names

 

 

 

 

  

Previous canal experience?

How did you hear about us?

YES / NO

Number of pets

  

 

Number of life jackets required

  

Deposit – 20% of total hire cost

Balance to be paid 6 weeks before commencement of hire period

Holiday cancellation protection scheme

£

£

 

£

TOTAL

 

£

Signature of person accepting responsibility for this booking. You must be over 18 to sign here

  

Card Number

  

 

Issue number

  

Valid from

 

Expires end

Name on Card

 

Security number (last three digits on back of card)

Signed

  

Date

  

Unless otherwise notified we will charge the initial payment to this card and also charge the balance of the hire, six weeks before the holiday start date to the same card. If the hire period is six weeks or less from the date above the total hire cost will be charged now. Payment of this deposit signifies that you have read and agreed to the booking terms and conditions.

Please make cheques payable to Norbury Wharf Limited. We are also happy to accept card payments via the telephone. Please send this form once complete to the address below.

 

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Directors: Simon Jenkins, Michael and Judith Thompson.
Reg No. 5128836.
VAT No. 850 096 531.
© NWL 2010.
Last updated: August 16, 2010.