FLORENCE
RIVER
Reservation Form Via
Fax
Only For Reservations.
Don't Use it For Availability Requests
Fill, print it and Fax
to the following number:
+ 39 0571 501366
|
|
FLORENCE
RIVER |
|
Reservation Form Via
Fax |
|
| Only For Reservations.
Don't Use it For Availability Requests |
|
Fill, print it and Fax
to the following number: |
|
+ 39 0571 501366 |
| Client Information: |
| Full Name: ................................................................................................................................... |
| Address: ...................................................................................................................................... |
| City: ........................................................................................................................................... |
| Zip-Post Code: ............................................................................................................................. |
| State: ......................................................................................................................................... |
| Country: ..................................................................................................................................... |
| Phone: ....................................................................................................................................... |
| Fax: ............................................................................................................................................ |
| E-mail (Write it correctly): ............................................................................................................ |
| Please, send us the following informations: |
| Number of persons: ..................................................................................................................... |
| Mounth: ...................................................................................................................................... |
| Day: .......................................................................................................................................... |
| Departure hour: .......................................................................................................................... |
| Name of the boat you choose: ...................................................................................................... |
| Name of the second boat you choose: ........................................................................................... |
| Do you want the tourist guide?: YES NO (The presence of the tourist guide is recommended) |
| Special Requests: ........................................................................................................................ |
| Sending this fax I declare to have read the terms and conditions and I agree with them. |
| Type of Payments (please, fill in all the fields): |
| Credit Card Holder: ..................................................................................................................... |
| Birthdate: ................................................................................................................................... |
| Type of Card: ............................................................................................................................. |
| Card Number: ............................................................................................................................ |
| Expiry Date: .............................................................................................................................. |
| Use’s limit: I authorize the use of this credit card for my bookings until ....../....../............ |
| Signature of the card owner: ....................................................................................................... |
| (please, sign it clearly) |