Casolare val di mare cecina mare

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

Euro
   

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)