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East Coast Offshore Yachting Call 01480 861381 now!

06 - Feb - 2012

Helping You Gain RYA Qualifications

Practical Booking Form

Booking Form Practical Courses

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Booking Form - Practical Courses

PLEASE PRINT, COMPLETE AND SEND WITH CHEQUE TO:-

Name .............................................................................................

Address .........................................................................................

Tel Number (home)...............................(work)..............................

email address................................................................................

Course: ........................................................................................

Dates:...........................................................................................

No of Places: ................................................................................

Deposit ............................................... 20% Non-Refundable

Balance .................... Payable 6 weeks before start of course

Total .........................Payable to East coast offshore yachting

East Coast Offshore Yachting bank details :- Norwich & Peterborough Building Society.

Sort code 08-60-81 Account no 93190800

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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