Room Type | Arrival date | Departure date | Number of Nights |
Rates: VAT 10% included | |
Bed and breakfast accommodation rate in SINGLE-ROOM, per night Bed and breakfast accommodation rate in DOUBLE-ROOM, per person per night |
85,00 €
65,00 € |
Use BLOCK CAPITALS | |
Last(Familly) Name: | _____________________________________________________________ |
First (Given) Name: | _____________________________________________________________ |
Organisation: | _____________________________________________________________ |
Address: | _____________________________________________________________ |
_____________________________________________________________ | |
Country: | _____________________________________________________________ |
Tel. N°: | __________________________ | Fax N°: | __________________________ |
E-mail: | _________________________________________________________ |
Credit card type: | ______________________________- | ||||||||||||||||
Credit Card N°: | |||||||||||||||||
Expiry Date: | |||||||||||||||||
Name of Cardholder: . . . . . . . . . . . . . . . . . . . . . . . . . Total: . . . . . . . . . . . . € | |||||||||||||||||
Date / Signature: | |||||||||||||||||
Shuttle from/to Malpensa Airport: (Please write on this form arrival time-date-flight number) . | |||||||||||||||||
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