Luciole Booking Form
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Cruise start date (please write as: Month / Day / Year)
/
Month
/
Day
Year
This will be a Sunday
Number in group travelling together
1
2
3
4
5
6
7
8
9
10
11
12
Passenger #1 (lead name):
First Name
Last Name
#1 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #2:
First Name
Last Name
#2 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #3:
First Name
Last Name
#3 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #4:
First Name
Last Name
#4 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #5:
First Name
Last Name
#5 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #6:
First Name
Last Name
#6 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #7:
First Name
Last Name
#7 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #8:
First Name
Last Name
#8 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #9:
First Name
Last Name
#9 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #10:
First Name
Last Name
#10 Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #11:
First Name
Last Name
#Cabin preference
Double cabin
Twin Cabin
Single cabin
Passenger #12:
First Name
Last Name
#Cabin preference
Double cabin
Twin Cabin
Single cabin
Family charter groups only
Children are accepted only within a whole-barge charter booking
Please tell us the names and ages of any children under 18 years old at the time of your cruise
Your contact details
E-mail
*
Phone Number (optional)
-
Country
Phone Number
Country of residence
Preferred payment currency
Special requests
Do you have any special requests or requirements?
Payments
We request a 25% deposit payment to confirm your cabin. Final payment is requested 90 days before the cruise departure date
Please let us know your preferred deposit payment method in order that we can provide the appropriate payment details/link.
Credit card online (Mastercard or Visa)
Bank wire transfer
Paypall (Mastercard or Visa)
Wise (Formally Transferwise)
Booking conditions
Before making a payment you must read, understand and agree to our
Booking Conditions
Required:
*
I accept the Booking Conditions
Submit
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