-----------------------Fax Form - www.perugiaonline.com-----------------------
RESTAURANT PIZZERIA
LA GHIANDA
Restaurant Pizzeria"LA GHIANDA" 
SERVICE area "Le Querce" S.Martino in Campo 
06079 - PERUGIA - Italy
Tel. (+39) 075 6099444

Fax (+39) 075 6099444
Thank you for visiting our home-page.
If you wish to book one or more of the following restaurant services or want further informations PRINT this form, FILL IT OUT (in block letters) and SEND IT via fax.
Name___________________________ Surname___________________________
*Company__________________________ street__________________________________
City_____________________ ZIP______ State______________ Country_________________
Int.code_________ Tel.________________ Fax________________ E-mail__________________
DATA EVENTO_________ 1)

RESTAURANT SERVICE TYPOLOGIES:
BANQUET/RECEPTION/COCKTAIL-PARTY/CEREMONY PERSONE N° ____
WEDDINGS/BAPTISMS/CONFIRMATIONS/COMMUNIONS/ANNIVERSARIES PERSONE N° ____
TOURIST GROUP AGREEMENT -  PERSONE N° ____

AGREED MENU:
APERITIF HORS D’OEVRE 1st FIRST COURSE 2nd FIRST COURSE
1st SECOND COURSE 2nd SECOND COURSE VEGETABLES DESSERT
FRUITS COFFEE DIGESTIF

According to the cells crossed the management will send for your acceptance a double choice of menu typologies.

* Information Request ___________________________________________________ ________________________________________________________________________ ________________________________________________________________________

EXCLUSIVELY FOR TOURIST GROUP AGREEMENTS
**IMPORTANT!! To be sure of the availabilty in the period indicated and confirmed by us, please send a PAYMENT ON ACCOUNT through bank transfer (in Euro) in favour of the following beneficiary:
Beneficiary :
La Ghianda Ristorante di Claudio Urbani
Amount of account payment: On request
Cause: Prenotazione Servizi Ristorazione
Beneficiary's Bank: --------------------
Agency: ---------------------
Cod. ABI --------- CAB ----------- c/c ------------


* Optional ** Please send the receipt of the bank transfer along with the fax