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Booking Form - Practical Courses
PLEASE PRINT, COMPLETE AND SEND TO EAST COAST OFFSHORE YACHTING, 1 MOORY CROFT CLOSE, GREAT STAUGHTON, HUNTINGDON, CAMBS, PE19 5DY
Name ............................................................................................. Address ......................................................................................... Tel Number (home)...............................(work).............................. Course: ........................................................................................ Dates:........................................................................................... No of Places: ................................................................................
Deposit ............................................... GBP 20% Non-Refundable Balance ....................GBP Payable 6 weeks before start of course Total ........................................................................................GBP
If balance has not been received this will result in the reservation being offered to other clients.
Previous experience/qualifications .............................................
Details of any medical treatment being received (if none write none)..........................................................................................
Special dietary requirements .....................................................
Name and contact number in case of emergency ......................
I declare that to the best of my knowledge, I am not suffering from epilepsy, disability, giddy spells, asthma, diabetes, angina, or other heart condition, & I am fit to participate in the course. I UNDERSTAND THAT PERSONAL INSURANCE IS NOT INCLUDED IN THE COURSE FEE. REFUNDS WILL NOT BE GIVEN IN THE EVENT OF A CUSTOMER CANCELLATION. SIGNED ...................................................................................... DATE........................................................................................... For office use only ...................................................................... Deposit ....................................................................................... Confirmation................................................................................ Balance .......................................................................................
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