-----------------------Fax Form - www.perugiaonline.com-----------------------
HOTEL
DAL MORO
Hotel DAL MORO s.n.c.
Via Santarelli - S. Maria degli Angeli
06088 - ASSISI
Perugia - Italy
Tel. (+39) 075.80.43.688

Fax (+39) 075.80.41.666
Thank you for visiting our home-page.
If you wish to book a room for your holiday or want further informations PRINT this form, FILL IT OUT (in block letters) and SEND IT via fax.

Name___________________________ Surname___________________________

*Company________________________ Address____________________________

City/Town_____________________ Postal Code______ Country_______________

International Dialling Code____ Phone____________ Fax:___________________

E-mail______________________________


1) DATE OF ARRIVAL_______________ 2) DATE OF DEPARTURE________________

TYPE OF ROOM:
COMFORT STANDARD SINGLE + WC Night stay
+ breakfast
Half
board
board
board
Persons ____
COMFORT STANDARD TWIN + WC Night stay
+ breakfast
Half
board
board
board
Persons ____

* REQUEST FOR PARTICULAR ROOM FEATURES YES NO

SMOKERS N° OF PERSONS + ROOM TYPE_____________
HANDICAPPED PERSON N° OF PERSONS + ROOM TYPE_____________
CRIB N° OF PERSONS + ROOM TYPE_____________

* Information Request _________________________________________________ ____________________________________________________________________ ____________________________________________________________________

**IMPORTANT !! To be sure of the availabilty of the chosen room in the period indicated, please send a PAYMENT ON ACCOUNT through bank transfer (in Italian Lire) in favour of the following beneficiary:

Beneficiary : Hotel DAL MORO s.n.c.- P.IVA 01260530546
Amount of account payment: Euro 100,00 (one hundred euro)
Cause : Booking room - Hotel DAL MORO
Beneficiary’s Bank : Monte dei Paschi di Siena
Agency : of Santa Maria degli Angeli - ASSISI
Cod. ABI 01030 / 6 CAB 38271 C/C 8380/58
IBAN 12 K 0103038271000000838058
SWIFT BANK PASCITMMSMA

1) Room available from 12,00 o’clock 2) Leave the room within 10,00 o’clock * Optional.
** Please send the receipt of the bank transfer along with the fax.

URL: www.dalmorogalleryhotel.com
email: info@dalmorogalleryhotel.com