molineventidue bed & breakfast bologna - reservation request form

RESERVATION REQUEST FORM

Please note that this is not a confirmation of your reservation. Confirmation will be carried out once all the conditions required are met and acknowledged by both parties.

The * fields are optional. All other fields are mandatory and have to be filled-in.

Name
Surname
Address
ZIP
City
State/Province
Country
Phone
Phone2 *
Fax *
Email

Adults
Extra beds *
Check-In
Check-Out
Arrival Time	: by
Special Requests / Comments *
Privacy Policy	On completing this form, with regard to data collection and processing, we inform that the data here contained: - are processed with information systems - are used to forward new information - can be communicated to related groups charged to give specific information and assistance on the service. I declare that I have acknowledged that my personnel data will be used in order to receive more specific information on the service. I recognise that I am given the right of knowing, refusing, modifying, up-dating, integrating, opposing the use of my personal data and of exercising the rights stated by the paragraphs 7,10, 13, law no. 675/96. In order to exercise my rights I can apply to the personnel responsible: Katia Tolomelli Molineventidue Bed & Breakfast Via delle Moline, 22 40126 Bologna BO Italy
	I accept


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