-----------------------Modulo Fax - www.perugiaonline.com-----------------------

 

"Al Massiano"
via Trasimeno Ovest, 6 
Zona Stadio R.Curi 06125 - Perugia
 Tel. +39 0755005621 - 0755002606
 Fax +39 0755016630

Thank you for visiting our Home-Page.
If you wish to book a mini-apartment for your holiday or want further informations PRINT this form, FILL IT OUT (in block letters) and SEND IT via fax.

First Name ____________________ Last Name _____________________

Company*_____________________________________________________

 Street________________________________________________________

City_____________________________ ZIP______ Country_____________

Tel._______________ Fax______________ E-mail____________________

 

ROOM TYPE


SINGLE - N°  ____
 
DOUBLE - N°  ____
 
 
TRIPLE - N°  ____
 
DATE OF ARRIVAL___________________  DATE OF DEPARTURE_________________
 
*Information Request
 
 
 
 
**IMPORTANT!! To be sure of the availability of the chosen room in the period indicated, please send a PAYMENT ON ACCOUNT through bank transfer (in Italian Lire) in favour of the following beneficiary:

Beneficiary: 2B Ristorazione di Bianchi E. Sas
Amount of account payment
: 20% € ______________
Cause: Prenotazione camera - Al Massiano
Beneficiary's Bank: Banca Toscana  S.p.A.
Agency: Filiale di Perugia - Piazza Italia 17/18
Cod. ABI 3400 CAB 03071 Account no. 45689/63

---------------------------------
* Optionals
** Please send the receipt of the bank transfer along with the fax.