BOOKING FORM

If you are interested, you are kindly requested to FILL IN this form and send it,

or print it and send it by fax

Name and surname

Name and surname of all guests


E-mail

(To guarantee a response please make sure that the address is perfectly accurate)

Address


City and ZIP code, State


Complete telephone number (with Country code)


Complete fax number (with Country code)


Birth Date


Occupation

Reservation from

Check in

Check out

Number of nights    time of arrival at the airport or train station

Single room with external private bathroom

Double room (Queen size bed) +ensuite private bathroom

Double room (French size bed) external bathroom

Comments

trouble signing in?

(please, write an email with all information of the form)

Telephone 0039 06 39386673 (from 3 pm to 7 pm - GMT+1 for Italy)

Fax: 0039 06 39388857 (on line 24 hrs)

email: bbcupola@iol.it

Mobile Phone: +39 (0) 347 1103623 or (0) 347 6974374