HC 16/HC16 Spi European Championships

Transcription

HC 16/HC16 Spi European Championships
HC 16/HC16 Spi European Championships
Charter Boat Application / Demande de location
Please fax/email completed & signed form to / A faxer/emailer dûment complétée et signée au
+33 4 94081399 (Attn: Regatta Dept) / [email protected]
Deadline/Date limite = 31/08/2013
Date
Skipper/Barreur
Crew/Equipier
Last Name/Nom
First Name/Prénom
Address/Adresse
City/ville
State + ZIP/Code postal
Country/Pays
Email address/Adresse mail
Tel
Fax
Payment by Credit Card/Paiement carte de crédit
(except American Express)
Credit card type/Type de carte de crédit
______________________________________
Credit card number/Numéros de carte de crédit
______________________________________
Cardholder name/nom du propriétaire de la carte
_______________________________________
Expiration date/Date d'expiration
Month/mois_______ Year/Année____Security code*______
Payment by bank transfer or cheque/Paiement par
virement bancaire ou chèque
Bank/Banque :
CREDIT AGRICOLE DRAGUIGNAN
IBAN
FR76 1910 6000 4543 6322 9507 480
SWIFT address / BIC :
AGRIFRPP891
Bank transfer/Virement bancaire
Cheque/Chèque
(*3 digit figure on the back of the card /3 chiffres au dos de la carte)
I accept the terms and conditions shown below, and authorize Hobie I accept the terms and conditions shown below and enclose
Cat Europe to charge my credit card for the amount of / J'accepte
payment for the amount of /J'accepte les termes et conditions ciles termes et conditions ci-dessous et autorise Hobie Cat Europe à dessous et joins mon réglement d'un montant de :
débiter ma carte de crédit du montant suivant :
HC 16 charter fee + transport = 1 450 Euros
HC 16 charter fee + transport = 1 450 Euros
HC 16 SPI charter fee + transport = 1 450 Euros
HC 16 SPI charter fee + transport = 1 450 Euros
HC 16 charter fee (pick-up toulon) = 1 050 Euros
HC 16 charter fee (pick-up Toulon) = 1 050 Euros
Cardholder signature:
_____________________________________________
Signature:
____________________________________________
Terms & Conditions / Termes et conditions
Refunds /Remboursement
HC16/HC16 SPI Charter fee/Montant location HC16/HC16 SPI = 1 050 Euros TTC tax included
Transport = 400 Euros TTC tax included
Any person who cancels a charter boat prior to 31 August 2013, will receive a full refund. Any cancellation made
after 31 August 2013, will forfeit the charter amount.
Le montant de la location + transport sera intégralement remboursé en cas d'annulation avant le 31 August 2013.
Après cette date le montant de la location + transport ne pourra plus être remboursé.
Hobie Cat Europe
Charter boat application form