Reservation Form via Fax: Fattoria Le Mandrie di Ripalta

  • Print it and fax to number: +39 0571 675025

Yes, I have read the terms and conditions and I agree with that by checking this box. (Please remember to check the box!)

 

 

Client Information:
Name on Credit Card: ______________________________________________________
Address1:______________________________________________
Address2:______________________________________________
Apt# :_______
City:___________________________________
State:_____________
Zip:_________
Country:________________________
E-Mail: _____________________________________________________
Telephone (very important):___________________________________________
Fax: ________________________
__________________________

Please note that at the moment of your reservation we require as confirmatory deposit an advanced payment of 30% of the entire amount of the stay.

Card: [Visa __] [Mastercard__]  [American Express__]

Card# __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

expiry date : ______/_____

Signature:_________________________________________________
(Required for credit card orders)

Type of apartment ( 1, 2 or 3 room )
| Arrival Date | Departure Date | How many people

______________________|__________________|___________|_____
______________________|__________________|___________|_____
______________________|__________________|___________|_____
______________________|__________________|___________|_____

Special requests:
_____________________________________________________

_____________________________________________________

Via Mandrie, 22 – Loc. Molino del Ponte
Baccaiano – 50024 Montespertoli – Florence – Italy
Phone: +39 0571 671700 Fax: +39 0571 675025
E-mail: info@lemandrie.com

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