<< BACK TO HOME PAGE -   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:
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 >
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