AVAILABILITY REQUEST (OFF LINE)

If you want to receive any information, we ask you to completely fill this form. Important: before booking check the availability of the room through "availability request by email" or by phone and then use " Booking " in order to book your room.
Thank you for your interest.

n.b.: the data with the asterisk * are obligatory.

Name:*:
E-mail*:
Address:
Street/Way:
Zip Code :
City:
Country:
Telephone:
Fax:
Arrival data*:
Departure data*:
Persons number: Adults:    Children:
About possibilities:
Kind of room: with Extra bed?:
Possibilities: Bed & Breakfast
Half Board
Full Board
Comments and/or other request:
 

I DECLARE that the data here are personal and according to the law on privacy I authorize Your firm to use them for internal and external use.

I AUTHORIZE you to use my personal data for any use to the senses of law 196/2003.

   
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Viale Torino, 24 Diano Marina 18013 - Imperia - Tel. 0183/49.41.45
e-mail
: hoteltina@rivieradeifiori.com

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