INFO/RESERVATION FORM (Print, fill in by hand and fax at +39 06 3234397) [ ] tick here if you require INFORMATION [ ] tick here if you wish to make a RESERVATION FULL NAME: ADDRESS: CITY: COUNTRY: TEL: FAX: E-MAIL(important): OFFICE TEL: PERIOD OF STAY IN ROME(required): Total number of nights: Total number of persons in your party: Number of children: tick the room(s) you request info for / you want to reserve (if any): [ ]Ostiense Room (as double: $75/day) (as single: $60/day) [ ]Arenula Room (as double: $120/day) (as single: $100/day) [ ]Prati Room (as double: $110/day) (as single: $90/day)
NATIONALITY: PLACE OF BIRTH: DATE OF BIRTH: PASSPORT NUMBER: PASSPORT EXPIRATION DATE: ROOM YOU WISH TO RESERVE: TOTAL DUE FOR NUMBER OF DAYS SPECIFIED: $ DEPOSIT DUE: (30% of total due + $10 tax expenses): $ Signature: We accept payments only through a BANK WIRE TRANSFER N.B. As soon as we receive your reservation form, we will send you a CONFIRMATION E-MAIL. You will then have 3 BUSINESS DAYS to send us a fax containing a copy of the bank's receipt for the DEPOSIT you specified above. The reservation will be considered valid only after we receive your deposit receipt fax. |