Form to send your credit card number
Credit Cards Accepted Circuit Visa and Master
Print, fill out and mail manually via fax to +39 0586.696051
Full Inquiry reservation that I have done, by sending your payment
Name and Surname's book: ____________________________________________________________________________
Amount of Deposit
I Authorize "Casolare Val di Mare" use credit card with the following information:
Total cost
Euro
Card Type
Name on Credit Card
Number of Credit Card
Expiration
Yes, I declare that I have read on this page today Terms and Conditions and accept the above.
Signature
________________________
Date
(To make effective the reservation request is necessary to add your signature)