| Mr/Ms | | | |
| First name | | Last name | |
| Address 1 | | Address 2 | |
| Address 3 | | County / State | |
| Country | | Post Code | |
| Phone |
| Payment method | |
| Please reserve for me | | Number of nights | |
| From 2.30pm Fri/Mon/Sat | (Date) |
| My party will consist of | Males Females Children Pets |
| Bedding (supplied) | Double Duvet/Sheet Single Duvet/Sheet |
| Have you previously hired from Kate BoatsNo Yes |
| Please confirm that you have read our terms and conditionsNo Yes |
| Canal Experience (So that we can plan staff for showing hirers new to the canals through locks) | |
| Your E-mail Address | | |
