*Nome/Name_________: *Cognome/Last Name_: Indirizzo/Address__: Città/City_________: *Paese/Country_____: CAP/Zip Code_______: *Tel.-Fax/Phone-Fax: *E-mail____________: *Adulti/Adults: Bambini/Children: Età/Age:
*Trattamento scelto/Requested Service mezza pensione/half boardsolo pernottamento/B&B
*Arrivo/Arrival Date (gg/mm/aaaa): ore/hours 12 del/of
*Partenza/Departure Date (gg/mm/aaaa): ore/hours 10 del/of N° Singole/Single___________: N° Doppie/Double____________: N° Triple/Triple____________: N° Quadruple/Four beds room :
Please state here further requests or questions about your stay.
As a guarantee for reservation, we ask you to let us know the
N° Scadenza/and Exp.
titolare/card holder
of your MASTERCARD Credit Card or to send a deposit of about 35% of the total holiday amount throught postal merit to:
La Campana Società Cooperativa Agricola
C.da Menocchia,39 63010 Montefiore dell'Aso (AP)
or bank transfer to:
IBAN: IT30 G053 0869 6500 0000 0000 369
The fields (*) are obligatory