booking form

* Your name
  
* Your e-mail address
  
Tel
Fax
Preferred method of contact
Inquiry Form
Booking Form
* Arrival date
* Leaving date

* No of adults

* and children

* Required fields

 

    
Please submit 50% of the total payable in order to secure your booking through:
Electronic payment
Banking Institution
ING DIRECT - CONTO ARANCIO
Account holder
Anna Varnier
Account number
303126866
Transfer bank details codes
ABI 03169, CAB 01600
Reference
your name appearing on this booking form
Credit card**
(not yet activated, but will be available soon!)
Credit card type
  
Credit card number
Name on the card
Security pin (4 digit number)

Comments/Requests

 
Expiry date

 

** If this forms contains credit card details, please send it via fax to:

Agritourism Podere Poggio Pelliccia - Giuncarico (GR)

Fax no: +39 0566 88912