RESERVATION FORM                

pour Formulaire de réservation en français cliquez ici

Help: casamerina@lycos.it Contacts: Click here

Use this form only to make a reservation, for availability & other questions use the "Availability form"
SURNAME:

   
NAME:

   

TELEPHONE:

ADDRESS:

 

CELLULAR TELEPHONE*:
HOUSE-NUMBER:

   

E-MAIL:

POSTAL CODE:    

FAX:

TOWN:  

COUNTRY:  

* Give us a cellular phone number where you can be contacted on arrival day or in the rental period.
Requests to rent the following holiday home:

 
NUMBER OF PERSONS:
OF WHICH SLEEP IN A BABY BED:

For Calendar, Holidays and Observances:
ARRIVAL DATE: 

D M Y

DEPARTURE DATE: D M Y
Place:

HOLIDAY HOME CODE:
TOTAL RENTAL PRICE:

 €.,00

Round up to the nearest Euro

€.,00

  
HOW DID YOU FIND OUT ABOUT US?
I have read and accept the rental terms, also concerning the treatment of personal data.