Reservation Mr./Mrs/Miss: Address: Telephone: Work Tel: Mobile: Fax: E-mail: Other: Type of Yacht: OCEANIS CLIPPER 473ODYSSEY 54DS Base of Departure : Base of Return : Dates from : To: Days: Skipper Hostess Provisions Hotel: On arrival On departure Transfer: On arrival On departure No First and Last Name Nationality Passport No or I.D. 1 2 3 4 5 6 7 8 9 10 Skipper Name: Type of License: Co-Skipper Name: Type of License: Date: