www.Rossellino.it

  CREDIT CARD AUTHORIZATION FORM
   * Fields marked with an asterisk are mandatory
     
* e-mail:  
     
* Name on Card:  
* Payment Methods:  
* Credit Card Number:  
* Expiration Date:  
* Cardholder Phone:  
     
* Signature of Card Holder: ______________________________________  
* Current Date:  
By submitting this form and any supporting documents, I confirm that I have read and agreed to the use of the personal information I am giving you in accordance with your Global Privacy Policy for Guests, which is available at www.rossellino.it/privacy.htm  
 
Please mail this completed form to:

 

Hotel e.mail #:

 
  each request is subject to confirmation of the hotel

  Business - Travel Agency
   * Fields marked with an asterisk are mandatory
   
* Agency:  
* Country:  
* Phone Number:  
* e-mail:  
* Vat Number  
* Billing Address  
     
* Reservation Number:  
* arrivo:    
* n. Notti:  
* n. adulti:     * n. bambini:  
numero camere  
camere 
trattamento 
prenotazione urgente:  
note:  
orario arrivo:  
     
Hotel e.mail #:


 
  each request is subject to confirmation of the hotel