This application and a deposit in U.S. dollars by credit card or by check on a U.S. bank or by international bank draft or money order or interbank  transfer will hold your space. The amount of the deposit varies by boat and is determined at the time the reservation is made.

Click on your printer icon above to print out the form then mail it to us with the deposit to the address listed below.  If you would like to secure your boat immediately, please call us at   1-800-800-1775 or fax it to 317-882-4274.   We can hold such a reservation for five business days pending  receipt of the printed  and signed registration form and your deposit.                               

    Boat No  :             

    Boat Name:       

    Departure Date: (dd/mm/yy)*

    Departure Base:

    Return Date:      (dd/mm/yy)*

    Return Base:    

    Return Cruise or One-way Cruise

    Information below refers to the Skipper only:

    Skippers First Name:

    Skippers Last Name:        

     Street Address:                   

     City                                

     State/Province       

     Postal Code        

     Country           

     Phone (home) 

     Phone (work)                          

     Fax                          

    E mail                         

    Name and address of each member of the party:

   

    Number of Adults:

    Number of Children:

    Total Number of People:

A navigation chart is indispensable for the success of your cruise

$30.00 U.S. each (Orders will be sent one month before departure)

Brittany (Chateauneuf/Rohan/Suce)

Pays de la Loire (Grez-Neuville/Sable)

Marne-Champagne (Meaux/Canaux de Paris/Sillery

Charente (Sireuil)

Lot (Bouzies)

Midi-Camargue-Aquitaine-Gascogne (Bellegarde-Bram-Buzet--Carnon-Homps-Le Somail)

Loire-Nivernais (Rogny-Plagny-Clamecy-Vincelles)

Alsace-Lorraine (Stenay-Saverne)

Burgundy-Nivernais (Clamecy-Vincelles-Montbard-Pont d'Ouche)

Doubs (Canal du Rhone au Rhin-Montbeliard)

Burgundy-Franche-Comte (Dole-Pont d'Ouche-Montbard-Langres-Fouchecourt)

Mini Atlas (France)

 

TO CALCULATE THE COST OF YOUR CRUISE

(Optional)

Boat Hire

Extras

Insurance (Optional cost according to policy)

Navigation Chart

One-way Cruise

On Board Pool

TOTAL

 

I also wish to reserve now (to be paid at the departure base):

Total number of bikes

Total number of pets (pet fees)

Space for total number of cars we will park

Total number of vehicles to be transferred (In case of a one way)

 

 

 

I have read and understand and accept the tour contract as stated in the Boat Owners Terms and Conditions of Hire and in the WorldVentures Boat Rentals Small Print sections of this web site relating to my chosen cruise and undertake to abide by these conditions.

    Skipper's signature__________________________________________________

    Date  dd/mm/yy*

    *Please note: This day/month/year format is the standard in Europe

 

       How did you hear about us?

       Advertising   Internet     Friend   

      Other

Please print and mail signed  form along with your deposit to:   (we can hold your faxed or telephoned  reservation for 5 days pending receipt of  your signed reservation form and your deposit.) 

WorldVentures Ltd, 4642 Whitview Lane, Suite 102,  Indianapolis, IN 46237 USA 

      Phone 1-800-800-1775  Fax 317-882-4274   Email- res@world-ventures.com