RESERVATION FORM	Complete and send this form
Name:
Last name :
Address:
City:
Zip code :
Nationality:
E-mail:
Fax:
Telephone:
Arrival Date : (day/month/year)
Departure Date: (day/month/year)
Number of adults:
Number of children under 4 years:
Number of children between 4 and 12 years:
Type of room:	DOUBLE ROOM with bathroom
Preferred method of contact:	E-mail Fax Mail Telephone
Additional Requests :
L'invio del modulo costituisce accettazione al trattamento dei dati personali secondo la legge sulla Privacy L.675/96