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East Coast Offshore Yachting

28 - Jul - 2010

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

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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