Hotel Ulivo - Deposit Payment with Credit Card

Compile, Print , Sign and Send please by fax to this Nr: 0039 0183 407034 (not by e.mail !)
Before sending the fax you must have received our reservation confirm.

First and last name:
E-mail:
Address:
Street:
City/Country:
Telephone:
Send definitive confirmation: per E-Mail - per FAX Nr.
Period: Chek-in: Chek-out:
Nr. people
Adults:- Children 2-5: children 6-14:
Room: double - triple - quadruple - single

baby bed and service (child 0-1)
VIP Room with A/C and refrigerator
room with wifi - twins bedroom
Service: Full Board - Half board - Bed & Breakfast
Wine and water included: no - yes
Price: Total per day € - Totale price €
Comments:
Credit Card:
Card VISA - MASTERCARD
Name
Number
Exp /
Payment: I authorize the payment on my credit card of the deposit of euro
Signature
(C.C. Holder):

 

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Privacy: I Autorize to use my personal data for any use to the senses of Italian law 196/2003.
Your reservation is valid only after our definitive confirmation.
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