-----------------------Fax Form - www.perugiaonline.com-----------------------

Azienda Agraria
POGGIOVALLE
CASE VACANZE
Fabro (TR)
Management:
Poggiovalle S.r.l.
Via della Vittorina, 60
06024 - GUBBIO
Perugia - Italy
Phone (+39) 0578.24.81.25
Fax (+39) 0578.24.82.19

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.

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 MINI-APARTMENT :

TWO-ROOMS
(n° 1-2 persons)
Q.TY N° __ TWO-ROOMS
(n° 3-4 persons)
Q.TY N° __ THREE-ROOMS
(n° 1-2 persons)
Q.TY N° __
THREE-ROOMS
(n° 3-4 persons)
Q.TY N° __ THREE-ROOMS
(n° 5-6 persons)
Q.TY N° __ FOUR-ROOMS
(n° 1-2 persons)
Q.TY N° __
FOUR-ROOMS
(n° 3-4 persons)
Q.TY N° __ FOUR-ROOMS
(n° 5-6 persons)
Q.TY N° __ FOUR-ROOMS
(n° 7-8 persons)
Q.TY N° __
*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: MARIA CARMELA COLAIACOVO - P.IVA 00431480540
Amount of account payment: € 154,94
Cause: Prenotazione miniappartamento - Casa Vacanze POGGIOVALLE
Beneficiary's Bank: Banca dell'Umbria 1462 S.p.A.
Agency: GUBBIO
Cod. ABI 06235CAB 38480 Account no. 4168/96

1) Mini-apartments available from 12,00 o'clock
2) Leave the room within 11,00 o'clock
* Optionals
** Please send the receipt of the bank transfer along with the fax.