: : Discover Friuli : booking form : :

Via S. Pellico 6
33043 Cividale del Friuli (UD) - ITALY
Tel: +39.0432.732.882 - +39.339.7245055
Fax: +39.0432.734.386
Web: www.discoverfriuli.com
E-mail: info@discoverfriuli.com

V.A.T. IT 02130350305
Regional authorization no. 238TUR/2000
Insurance company : Mondial Assistance
Insurance policy no. 164859

BOOKING FORM

(Travel contract in accordance with Legislative Decree no. 206/2005 )

Please fill in the form and fax it to our reservation line: +39-0432-734386.
You will receive a confirmation and vouchers via e-mail.

NAME AND ADDRESS TO WHICH ALL CORRESPONDENCE WILL BE SENT:

First name:	Telephone:
Last name:	Fax:
Address:	E-mail:
City, State:	Billing address ( If different from mailing address ) :
Zip Code:
Country:

PARTICIPANTS:

First name	Last name	Age
1.
2.
3.
4.

TOUR INFORMATION:

Tour name:	Tour code:
Departure date:	No. days/nights:
Arrival location:	Departure location:
Accommodation:	Room requirements: Triple: Double: Twin: Single:
Special requests:	Room requirements: Triple: Double: Twin: Single:

PAYMENT CALCULATION:

Item	Cost per person	No. participants	Total cost
	€	€	€
	€	€	€
	€	€	€
	€	€	€

PAYMENT INFORMATION ( please tick ) :

a) Wire tansfer

b) Credit card ( VISA / Master Card )

a) Bank details: FRIUL CASSA SPA - Agency no.5 - Udine - IBAN code: IT97T063401230507404357685E - SWIFT code: IBSPIT2U
b) Please fill in the credit card authorization form.

TERMS AND CONDITIONS:

On behalf of myself and the above passengers I confirm that I have read all tour information and agree to terms of business as set out in the booking conditions.
Date ................................................	Signature................................................
The signatory's name will be the lead name for all booking purposes

< click here to PRINT the form >