Bentleys Luxury Afloat

Please print this page out and fax or mail to us.

From _____ am/pm ___/___/___ to _____ am/pm ___/___/___

No. Males ________ Females ________ Children __________

Name ____________________________________________

Address __________________________________________

_________________________________________________

State _________________ Postcode ___________________

Phone: (Home) ______________ (Business) ______________

Please enclose bond $500.00

I understand that once this booking is confirmed, cancellation made prior to 30 days of commencement of hire will result in Bentley's Luxury Afloat refunding my deposit/bond less $70.00.. Otherwise refund will depend on the boat being hired for the same period.

Signature: ______________________ Date ______________

PLEASE RETURN THIS RESERVATION REQUEST TO:

BENTLEY'S LUXURY AFLOAT

119 Galston Road

Hornsby Heights NSW 2077