Module

CREDIT CARD SENT BY FAX

Name:
Surname:
Reference:
Total:

Notes: ________________________________________________________


Accepted credit cards VISA or MASTERCARD

Card Number: __________________________________________________

Cardholder Full Name: _____________________________________

Expire : _____________________________________________________


We beg you please to print this form with the requested credit card data sending a copy to the fax +39 0586 620791.
Once we receive your information we will charge your stay on the credit card.