Reservations

This is a preliminary request form.
The reservation carried out from Internet will be confirmed by email in order of the availability of the rooms. L’Hotel reserves the possibility to demand the deposit of an advance payment on the stay by banking discount or postal money order.

PERSONAL INFORMATION
Surname*		E-mail*
Name*		Phone number

ROOM

Date of arrival*

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

January February March April Mai June July August September October November December

2008 2009 2010 2011

Date of departure*

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

January February March April Mai June July August September October November December

2008 2009 2010 2011

Room*	single	0 1 2 3 4 5	double	0 1 2 3 4 5
	triple	0 1 2 3 4 5	quadruple	0 1 2 3 4 5

Service required*

Room Room and breakfast Half board Full board

Number of adults*

1 2 3 4 5 6 7 8 9 10

Number of children under 5 years old

0 1 2 3 4 5 6 7 8 9 10

Specification and other requests

* All the blanks signed with * must be filled in

In respect of Article 13 of Italian Law 196/03, please note that:
By sending in this form, the user acknowledges being aware of the information note on privacy (Article 13 of Italian Law 196/03) and authorises his/her own data to be dealt with in the ways and for the purposes indicated therein.
The data collected here are used solely to meet the needs of the requested service. This information may be used only by the personnel responsible for this activity and only divulged within the scope and purposes of the service provided.