-----------------------Fax Form - www.perugiaonline.com-----------------------
RISTORANTE
LORD BYRON 		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 ______________________ DATE OF EVENT ________________________
1)DATE OF ARRIVAL_______ 1) DATE OF DEPARTURE______

RESTAURANT SERVICE TYPOLOGIES:
BANQUET/RECEPTION/COCKTAIL-PARTY/CEREMONY PERSONS N° ____
GALA EVENING PERSONS N° ____
WEDDINGS/BAPTISMS/CONFIRMATIONS/COMMUNIONS/ANNIVERSARIES PERSONS N° ____
TOURIST GROUP AGREEMENT - (MINIMUM N° 10 PERSONS) PERSONS N° ____

AGREED MENU:
APERITIF HORS D'ŒUVRE I° FIRST COURSE II° FIRST COURSE
I° SECOND COURSE II 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 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 200.000 (duecentomilalireitaliane)
Cause : Prenotazione Servizi Ristorazione - Ristorante LORD BYRON
Beneficiary's Bank : Banca Popolare di Spoleto
Agency : di Trevi
Cod. ABI 5704 CAB 38720 Account n° 4859 / 7

EXCLUSIVELY FOR BANQUETS/RECEPTIONS/COCKTAIL-PARTIES /CEREMONIES/ GALA EVENINGS /WEDDINGS /CONFIRMATIONS /BAPTISMS/HOLY COMMUNIONS/ANNIVERSARIES/ TOURIST GROUPS
**IMPORTANT !! In order to carry on with your proforma invoice and menu proposal, please send a PAYMENT ON ACCOUNT of ITL 50.000 (cinquantamilalireitaliane) through bank transfer to the above beneficiary (insert Cause : Preventivo Menu'). This account payment will be detracted from the bill for the restaurant services received.


* Optional. ** Please send the receipt of the bank transfer along with the fax .
1) Requested for Tourist Groups only.