Reservation via fax for : Hotel Antico Doge

No request – only for reservation – not to be used for availability request

Stay information:

Arrival  Date:

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Check in time

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Departure Date:

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Number of nights:

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Number of Rooms: ........................................

Room Type 1:

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Beds:

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Room Type 2:

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Number of Adults:

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Number of childrens:

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Age of childrens:

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Smoking:

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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.
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Signature
Special request for room, for breakfast, news paper, for rent a car, for  limousine service
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