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.

- GUEST

Surname:

Name:

Address:

Zip Code:

City:

State/Province:

Country:

Tel:

Fax:

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

Note:


 Arrival Time:

- EXTRA CHARGE

Baby cot:

Transfers:
Extra parking space: (the first is always free of charge for each accommodation)
Pet final disinfection: (required only in residence in pets presence)
- ADVANCE DEPOSIT

I enclose the Payment Order of % (Euro ) headed to:
DAISY SRL - Località Grotticelle snc, 89866 - Ricadi (VV)
CASSA RURALE ED ARTIGIANA DI SAN CALOGERO - FILIALE DI CAPO VATICANO RICADI
IBAN: IT39Q0888740960000000087701
SWIFT/BIC: ICRAITRRON0

I authorize the "Hotel Village Eden" to withdraw the % of amount from my Credit Card:
Type:  VISA   MASTERCARD
Card Number: Expiry Date:    
Euro (digits): In Letters: 
Owner: Authorized Signatory:  
   
   
Date     
Signature ________________________
Stampa