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Request Form

Request

     no. single room
     no. double room
     no. triple room
     no. apartment (c.da S.Caterina) Spett/le Az.Agrituristica
Ai Calanchi
C.da Fiorano

65014 LORETO APRUTINO (PE)

     other/comments (only fill in the space below)


Data Arrivo:
Arrival Date

Data Partenza:
Departure Date

Personal details

Nome Cognome
Name Surname

Società
Company

Telefono
Telephone

Fax

E-Mail

I agree to the handling of my personal data in accordance with
Italian Law No. 675/96 concerning privacy protection.
My data will only be used for this operation and for the sending
of your catalogue and business offers.

other/comments (only fill in the space below)

I agree to the handling of my personal data in accordance with Italian Law No. 675/96 concerning privacy protection. My data will only be used for this operation and for the sending of your catalogue and business offers.

I agree to the handling of my personal data in accordance with
Italian Law No. 675/96 concerning privacy protection.
My data will only be used for this operation and for the sending
of your catalogue and business offers.