RESEVATION FORM

To reserve, fill the following form, print out with the browser printing botton, then sign and send it by fax to +39 0963 1930 189.

- CUSTOMER INFORMATION

Surname:

Name:

Address:

Zip Code:

City:

Nation:

Telephone:

Mobile Phone:

Fax:

Email:

- ACCOMODATION
Typology:    
Basis:  
From: To:
Total Nights: Adults (from 13 years old):  
Children (0-12 years old): Children's Age:

Notes:


Expected Arrival Time:

- PAID SERVICES

Crib:

Transfers:
Extra car parking: (1st parking place per accommodation is free)
Pet final disinfection: (obligatory in residence in the presence of pets)
- BOOKING DEPOSIT

I enclose the BANK TRANSFER of % (Euro ) on the account headed to:
Daisy Srl-Hotel Village Eden - Località Grotticelle - 89866 - Ricadi (VV)
MONTE DEI PASCHI DI SIENA BANK - Via Provinciale, 134 - 89866 - Ricadi (VV)
IBAN: IT 06 V 01030 40960 000001090083 - SWIFT: PASCITM1VVR

I authorize the "Hotel Village Eden" to withdraw the % of the total cost from my CREDIT CARD:
Type:  VISA   MASTERCARD
Card Number: Expiry Date:    
Euro (digits): In Letters: 
Card owner: Owner's Signatory:  
   
   
Date     
Signature ________________________