BOOKING REQUEST :

Important: before "booking" check the availability of the room through " availability request ".

If you want to book a room/rooms please completely fill this form. Our Direction will send you a " Confirmation of booking " as soon as possible. Thank you.

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

Name and Surname *:
E-mail*:
Address*:
Street/Way*:
Zip Code:
City*:
Country*:
Telephone*:
Fax:
Arrival Date*:
Departure Date*:
Persons number: Adults:      Children:
About possibilities:
Kind of room: with Extra bed?:
Possibilities: Bed & Breakfast
Half Board
Full Board
Credit Card datas:

Credit Card

Number:
Expiration:
Name:
CVV2 Number:
Comments 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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