At moment you can use this Credit Cards:

We need that you print this page and that you write all points of this application form and at last that you send this application form by fax to 0039.090.9813085.

Cardholder's ____________________________________________________________
Card Type ______________________________________________________________
Card number ____________________________________________________________
Expiration Date: month ____________________ year ___________________________
Card Billing Zip Code _____________________________________________________
Amount to pay (numbers) __________________________________________________
Amount to pay (letters) ____________________________________________________
Name of Holder of reservation (if different from Cardholder) _______________________________________________________________________
Reservation's object _____________________________________________________
_______________________________________________________________________
Home telephone/Office Tel. ________________________________________________
Email Address ___________________________________________________________

To the senses of the Law 675/96 (Law Privacy) with the signature of the present model is authorized the House Service srl to hold and to file the contained personal data in the present model for administrative, bookkeeping and commercial purposes, included the
consignment street it relatively posts some necessary documents to how much object
of its affairs.

Date ____________________

Signature _______________________

It authorizes besides send for mail or by e-mail of information and / the catalogs or other inherent material the activities developed by the House Service srl or from the Service & Service srl or from the Mate Service srl and however without transfer to third of his nominative.

Signature _______________________

Write, sign and send this application form to: 0039.090.9813085

For all explications call: Tel. 0039.090.9813271
or by email to: hotelitaliani@mailx.it