Booking Form

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Booking Information Personal Information Last Name * First Name * Initial Home Address Postcode Country State Home No. Mobile     Work No. Fax No.     Email *       Country : select country Afghanistan Albania Algeria Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia Herzegovina Botswana Brazil Brunei Darussalam Bulgaria Burkina Faso Burma Myanmar Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Democratic Republic Congo Republic Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Faroe Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Republic Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guatemala Guinea Guinea Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Eire Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Moldova Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria North Korea Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Qatar Reunion Romania Russia Rwanda Saint Helena Saint Lucia Saint Pierre & Miquelon Saint Vincent & Grenadines San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tristan da Cunha Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands Wallis & Futuna Islands Western Samoa Yemen Yugoslavia Zambia Zimbabwe     Special Request (Please let us know what special requests you have, eg: Kayak, Diving equipment etc)   Preferred Travel Details Departure Date * DD/MM/YY Return Date * DD/MM/YY Choice of Yacht Select a Yacht Roberts 54ft Jeanneau Sundance 36ft Jeanneau Sunlight 30ft Phoenix 43ft Cal 47ft 100 year old Schooner No. of Passengers passenger 1 2 3 4 5 6 7 8 9 10 10 up Insurance & Medical I / We have travel insurance (including cancellation insurance) We have read the Booking, Insurance and Liability Conditions for JC Tour's Cruising and agree to the terms. (Click here to read the Booking Conditions). It is required by JC Tour's Cruising that all passengers divulge any physical or mental conditions which may require treatment prior to boarding the vessel. Please also provide current Medical Practitioner information: Medical Conditions     Allergies     Doctor's Name     Doctor's Contact No     Payment Once you have submitted your booking we will contact you to confirm your details, Price and arrange payment.         Please type the letters from the image above into the space provided (the letters are case sensitive - type it exactly as you see it):     *