Reservation form

Hirer's full name:
Address:
Postalcode + City:
Telephone number :
E-mail address:
Mobile phone number:
Yacht:
Code:
reserve this yacht for the hire period from: to
Alternative/second choice; from: to
Number of adults/children: /
The total rental charge is: EUR.
Extra equipment: / Rental charge: / EUR.
OWN SHIP verhuurbemiddeling charges the hirer for EUR. 36,50 administrative expenses.
The total rental charge is: EUR. (incl. cleaning- and administration expenses)
Especially for the hirers of yachts, UNIGARANT has developed an insurance policy (for hirers living in the Netherlands, Belgium, Luxembourg and Germany) which covers cancellation, deposit and consequent damage, luggage, unforeseen expenses, liability and accidents.
The premium of this insurance amounts to 4,65% of the rental charge. The luggage-, liability-, unforeseen expenses- and accidents insurance are possible from € 0,95 per person, per day. The consequent damage- and deposit-insurance is possible from € 42. The premium is increased by € 5,- police costs and insurance tax. If you would like include this service in your reservation, you can tick the appropriate box(es) below.

Yes, I would like cancellation insurance
Yes, I would like consequent damages- and deposit-insurance
Yes, I would also like luggage-, liability-, unforeseen expenses- and accidents-insurance
   
Additional wishes/remarks:
Date:
   
How did you locate us ? advertisement
through an acquaintance
other, namely:

Declaration of sailing- and yachtingexperience
Yachtingexperience of the hirer as skipper:
Sailing yachts : yr.
Motoryachts slower than 20 km/h: yr.
Motoryachts faster than 20 km/h: yr.
   
Motor- / sailingyachttype - length - number of days - area:
Last experience as a skipper on a yacht in the year
 
Yachtingexperience of the hirer as a crewmember :
Yachttype - length - number of days - area:
Last experience as a crewmember on a yacht in the year
Certificates, diplomas and (sailing) licenses:
Yachtingexperience of other crewmembers:
As required for insurance and safety purposes, we require you to state the names and birth dates of the crew:
Name - m/f - birth date of skipper and crewmembers:
Date:

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