Reservation Form

To reserve, fill the following form, print out with the browser printing botton, then sign and send it by fax to 0039 0963 193 0189.

- 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 (4-12 years old): Children (0-3 years old):

Note:


Arrival Time:

- EXTRA CHARGE

Baby Bed:

(35 Euro per week)

Transfers:
- ADVANCE DEPOSIT 30%
I enclose the Payment Order of 30% (Euro ) headed to HOTEL VILLAGE EDEN - Daisy srl - Loc. Grotticelle - 89866 Ricadi (VV) IBAN: IT 06 V 01030 40960 000001090083 - SWIFT: PASCITM1VVR
I authorize the "Hotel Village Eden" to withdraw the 30% of amount from my Credit Card:
Type:  VISA   MASTERCARD
Card Number: Expiry Date:    
Euro (digits): In Letters: 
Owner: Authorized Signatory:  
   
   
Date     
Signature ________________________
Stampa