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Reservation via fax for : Hotel Gladiatori
No request – only for reservation – not to be used for availability request
Stay information:
Arrival  Date:	........................................	Check in time	...................................
Departure Date:	........................................	Number of nights:	...................................
Number of Rooms:	........................................	Room Type 1:	...................................
Beds:	........................................	Room Type 2:	...................................
Number of Adults:	........................................	Number of childrens:	...................................
Age of childrens:	........................................	Smoking:	...................................
Guest:
Name ............................................. Surname ............................................. Name on Credit Card ............................................................................................................... Adress1: ............................................................................................................... Adress2: ............................................................................................................... Ap# ............................................. City ............................................. Zip ............................................. Country ............................................. Email:(Capital letter) ............................................................................................................... Fax ............................................. Mobile ............................................. Telephone ............................................. Other ............................................. Birth date .............................................
Credit Card Information Name on Credit Card ......................................................................... Credit Card VISA  AMEX  MASTERCARD DINNERS # Credit Card ......................................................................... Expiry Date: ........................................................................ Signature
Terms and conditions Yes, I have read the terms and conditions and I agree with that by signing this reservation. . Signature
Special request for room, for breakfast, news paper, for rent a car, for  limousine service ............................................................................................................................................ ............................................................................................................................................