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Medusa client booking request

September 30, 2020 by Admin

Please complete the following information to confirm your charter agreement reservation:

1. PERSONAL DETAILS

Title
MrMrsMiss

Name:

Surname:

National Identity No or Passport number:

Date of Birth:

Country of Birth:

Nationality:

Home Address:

Town / City:

Post Code / Zip:

County / State:

Mobile No (+ ):

Contact E-mail:

Address on Ibiza (NOT OBLIGATORY):

Date you fill in the reservation form:

Number of passengers (1):

Date(s) chosen for the charter: From

Date(s) chosen for the charter: To

Total days

Comments and Extra details below:

(1) The yacht MEDUSA, authorized for 12 passengers + crew during navigation.

Bank transfer payment:
We will send you bank information so that you can make the bank transfer.

Credit card payment:
We request your card details once you send us the duly completed form

Type of card: