Boat Rental Booking Form

Boats are only available in conjunction with a confirmed property rental.

Boat Rental Booking Form - Payment in US $ only

Payments are accepted by credit card (Visa/MasterCard) or Personal Check

Complete the online reservation form below.
If paying by credit card enter your credit card information before sending.
Alternatively, telephone direct with your card details 1-239-633-0062
Press the "send" button at the bottom of the page to email your reservation.
You will then be redirected to a confirmation page. Print out a hard copy for your records if paying by credit card, or to include with your payment if paying by check (mailing address is shown on the confirmation page).
A confirmation will be sent by return email.

Boat Rental Details
Delivery date (Day One)
Number of Days Rental
Boat Type

Enter Rental Rate Per Day	$
Enter holiday, seasonal or weekend supplement (if applicable)	$
Enter delivery charge (if applicable)	$
Total Rental Cost	$
Enter Sales Tax at 6%	$
Enter Grand Total (Total Rental Cost + Tax)	$
Enter Deposit Due with Reservation (20%)	$
Enter Balance Due 30 days before Rental (80%)	$

Payment by Credit Card Non-US or Canadian Billing Addresses will incur a 4% Admin Charge. This will be automatically added to the grand total.

Name
Address
Postcode / Zip code
Email address
Home Telephone number
Cellphone number


I have previous boating experience	YES NO


CREDIT CARD AUTHORITY
I authorise you to debit my Visa MasterCard
Please select as applicable: My credit card has US Billing Address Canadian Billing Address International Billing Address
Credit Card Number
Expiration Date (mm/yy)
3 digit security code from signature strip
With the sum of $
(if applicable) I also authorise you to debit the same credit card for the outstanding balance (as shown above) 30 days prior to rental date
Name as printed on card:
If you prefer: Tick here - Please telephone me for my credit card details. Enter contact telephone number here

Declaration

I certify, on behalf of all persons included on this form, by whom I am authorised to make this booking, that I have read and agree to the boat rental Terms and Conditions and the prices shown on the relevant price list. I am over 21 years of age.

Print Name	Date

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Boat Rental Booking Form

Boat Rental Booking Form - Payment in US $ only

Boat Rental Details

Copyright (c) 2002-2007 Secret Places, all rights reserved Website designed and maintained by FVOS

Copyright (c) 2002-2007 Secret Places, all rights reserved
Website designed and maintained by FVOS