Reservation

        Last name: 
       First name: 
           Street: 
              ZIP: 
             City: 
          Country: 
   E-Mail-Address: 
            Phone: 
              Fax:

      Destination: 
                          
Number of persons: 
        (in total)
           Adults: 

          Infants:   
       (0/2 years)
           Cradle: yes   no 

         Children: 
      (2/16 years)
  Children's ages: 1st child  2nd child 3th child 4th child

Period of stay from  until  mm/dd/yy (day/month/year)

 Number of nights: 
        (in total)

     Accommodation  single room          
                    two-bedded room     
                    king-size room     
                    three-bedded room  
                    four-bedded room

            Basis:  BB  Half Board  Full Board

         Excursion:    Number of persons:        Excursion on   dd/mm/yy (day/month/year)

  
    
    city-excursion / number of persons /  dd/mm/yy

  


    Form of payment:  Bank swift  (Monte dei Paschi di Siena ag. Napoli 4 C.C. 6683.59 ABI 01030 CAB 03404)
                    Credit Card  
  
    
                                            
      
        Cardholder:       Credit Card:
            Number:
   Expiration date: