Rooms apartments cottages for rent farm holidays Bolgheri, booking on-line

Booking request I would like to make the following booking:

ACCOMMODATION DATA

Accomodation


Guest Nbr.		+ adolescent Nbr.
		(in sofa-bed , only in Cottages)


Nbr of nights

Date of arrival

day

month

year

Date of departure

day

month

year


Special request

USER DATA

First Name

Last name

Address

Street nbr

Zip code

City

State

Telephone

Fax

E-mail
Confirm e-mail address
Be sure to write correctly the e-mail address

PRICE OF THE STAY

   For stay of one or two nights, we don't ask for payment in advance, credit
   card data are enough as a guarantee, you can send them by fax by filling
   out fax the printing form.

Total amount	Euro
The system will suggest you correct amount

For stay of three or more nights, we ask an adavanced payment of 30%
(thirty per cent) of the total amount

Amount of advance	Euro
The system will suggest you correct amount

WAYS OF PAYMENT

I want to bill the payment in advance by:

Credit card via fax

(printable
form)

(

secure method)

Credit transfer

Money-order

SETTLEMENT OF PAYMENT

Settlement of payment: at your departure as follows:

Cash

By cheque

By Eurocheque

By credit card Visa, Mastercard

Yes, checking this box, I declare that I have read and printed "Terms and Conditions" and I agree with them.
(Required for booking.)

Security and Privacy: Agreement to personal data treatment, according with Italian law decree 193/2003 "Protection of personal data" (196/2003 "Protezione dei dati personali")

I accept