-----------------------Fax Form - www.perugiaonline.com-----------------------
HOTEL
MIRAFONTI
Albergo Rist. MIRAFONTI di Langeli Angelo e C. s.n.c.
Via Virgilio, 16
06042 - CAMPELLO SUL CLITUNNO
Perugia - Italy
Phone (+39) 0743.52.10.71

Fax (+39) 0743.52.10.71
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________________________ Address___________________________
City/Town__________________ Postal Code________ Country______________
International Dialling Code____________ Phone___________ Fax___________
E-mail_____________

1) DATE OF ARRIVAL_________    2) DATE OF DEPARTURE_________

TYPE OF ROOM:
SINGLE + WC Night stay
Breakfast
Half Board Full Board Persons ___
DOUBLE + WC Night stay
Breakfast
Half Board Full Board Persons ___

* REQUEST FOR PARTICULAR ROOM FEATURES YES NO
SMOKERS N° OF PERSONS + ROOM TYPE_____________
CRIB N° OF PERSONS + ROOM TYPE_____________

* Information Request_____________________________________________
___________________________________________________________________ ___________________________________________________________________

**IMPORTANT !! To be sure of the availabilty 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 : Albergo Rist. MIRAFONTI di Langeli Angelo e C. s.n.c. - P.IVA 01773780547
Amount of account payment: ITL 50.000 (cinquantamilalireitaliane) a persona
Cause : Prenotazione camera - Hotel Ristorante MIRAFONTI
Beneficiary's Bank : Banca Popolare di Spoleto
Agency : Trevi
Cod. ABI 5704 CAB 38720 Account n° 4859 / 7


1) Room available from 12,00 o'clock     2) Leave the room within 10,00 o'clock     * Optional.
** Please send the receipt of the bank transfer along with the fax.