Fred. Olsen Cruise Lines U3A Barnet/Mill Hill Group – French Rivers Cruise 2017 BOOKING FORM Please complete this form using block capitals throughout. Please return your completed forms to Group Sales Department, Fred. Olsen House, 42 White House Road, Ipswich, Suffolk, IP1 5LL CRUISE NO:M1711

SURNAME (as shown on passport)

DEPARTURE: 12/05/2017 FIRST NAMES IN FULL

GRP0096

CABIN GRADE / NUMBER:

MR, MRS, MISS, ETC

DATE OF BIRTH

FULL HOME ADDRESS Please provide your home address for Immigration purposes Full address: …………………………………………………………………. …………………………………………………………………. ……………………………….… Postcode: ………………… Telephone no (incl STD code) …………………………………………….

NATIONALITY AS SHOWN ON PASSPORT

BOOKING REF:

PASSPORT NUMBER & COUNTRY ISSUED

DATE OF ISSUE

DATE OF EXPIRY (SEE * )

All passports must have at least 6 months validity after the return date of travel. NEXT OF KIN & RELATIONSHIP Emergency contact details : Name: ……………………………………………………….………………… Telephone no (incl STD code) ………………………………………………

Email address: ……………………………………………………………… RESTAURANT SEATING: Group dining will be arranged in the Thistle Restaurant on board Braemar. Please indicate which sitting you would prefer for dinner by ticking the appropriate boxes: First sitting (approx 18.15 hrs)



 

Second sitting (approx 20.30 hrs)

Table Sizes (2,4,6,8) -please tick if you have a preference of table size here.

Please note that due to demand the table size requested may not always be available, however our on board staff will do their best to accommodate your requests wherever possible, based on requests received in date order. ALL INCLUSIVE DRINKS PACKAGE: A charge of £10 per person, per night will be added to your booking. Please tick here if you would like to opt for this drinks package.

 (NB: This drink s package can only be added if taken by all occupants of the cabin).

TRAVEL INSURANCE Note: It is a condition of carriage that all persons named on this booking form hold valid insurance. Insurance Company: ……………………………………………………

Policy No: …………………………………………………………….….

MEDICAL Please tick the box should you have any pre-existing medical condition that could adversely affect you during your cruise. We will then send you a “Fit to Travel” letter for you to complete and return.



If you will be taking a wheelchair on board, please tick the box.



Limited number allowed – please check space available Name of person requiring wheelchair: ……………………………………

Emergency assistance telephone no: ………………………………... For shore use only?



For use at all times?



PAYMENT: A 15% deposit payment is due within 7 days of making a confirmed booking. (Plus an additional 15% deposit payment if you would like to add the chargeable all inclusive drinks package to your booking). The balance payment is due no later than 90 days prior to departure. Please make cheques payable to: Fred. Olsen Cruise Lines Ltd. OR Make a card payment as per below: Total due to Fred. Olsen Cruise Lines for trip: £ ………

Please charge my Switch / Delta / Mastercard / Visa * (* please delete)

Name & initials of cardholder: ………………………………………….....

Card number: ………………………………………………………………...

Cardholder’s address: ………………………………………………………

Issue number (Switch / Delta) ………….…

…………………………………………………………………………………

Security Number: …………… ( on the reverse of the card)

Expiry date: ……………..

Please note a 1.5% merchant surcharge applies to credit card payments.

SIGNATURE:

4.2.1 - Draft

………………………………………………

DATE: ………………………………………………………………………. Chapter 4 - Page 10

Fred. Olsen Cruise Lines - Barnet U3A

ISSUE. DATE OF. EXPIRY. (SEE * ). FULL HOME ADDRESS. Please provide your home address for Immigration purposes. Full address: … ... Email address: …

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