| -----------------------Modulo Fax - www.perugiaonline.com----------------------- |
| HOTEL
RISTORANTE VILLALUISA Via A. Cortesi, 147 06059 - Todi (PG) - Italy Tel. (+39) 075 8948571 Fax (+39) 075 8948472 |
| Thank
you for visiting our Home-Page. If you wish to book a room 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 ROOM: | ||
| * REQUEST FOR PARTICULAR ROOM FEATURES |
| SMOKERS | N° of persons + room type______________ |
| CRIB | N° of persons + room type______________ |
| *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 Euro) in favour of the following beneficiary: Beneficiary: Villaluisa s.r.l. |
| 1) Room available from 12,00 oclock 2) Leave the room within 10,00 oclock * Optional. ** Please send the receipt of the bank transfer along with the fax. |