Please, print, compile and send by fax.

*First name_________________________________________ *Family name __________________________________


*Mailing Address_____________________________________________________________________________________


*Postal code _________________________*City __________________________________________________________

*Country____________________________________________________________________________________________


*Email address _______________________________________________*Home phone__________________________

*Day time phone_____________________________________________________________________________________

Please indicate room requirements:

*Single room (s) _____________________________(For single rooms there is a small supplement to be paid)

*Double room (s) ____________________________


*If a single room is unavailable will you share? Yes / No
*Dietary requirements Yes / No


Please indicate here if your dietary requirements if you have indicated "yes" at the above question

* Obligatory
_____________________________________________________________________________________________________

The deposit of the 400,00 Euro I will pay with in the following ways :

1. By cheque (please send by certified mail to our address in Rome) or
2. By bank transfer (as soon as you return this application form by fax or email we will transmit you our banking details by email or fax)

- I have read, understood and accept all the conditions of booking and the information provided.


Place__________________________Date______________________ Signature_____________________________


- I herewith confirm the booking of the Hike or Day trip which I have indicated above.

Place__________________________Date______________________ Signature_____________________________

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