Booking Please you compile the form in all of its parts Surname Name Town State Telephone Fax Email Arrival Date Departure Date Kind of Room -- -- Camera Singola Camera Doppia Matrimoniale Matrimoniale + lettino Camera 3 letti Total People Type of Service -- -- Pernottamento e Prima Colazione Solo Pernottamento Credit Card ---------- Visa Eurocard Diners Carta Si Mastercard BankAmericard Eurocard N°Credit Card Exp. Date Messagge Reservation * Asked for Information * Every application of booking is subordinate to our confirmation N.b. If you have any problems, please send an e-mail to: h.gelsomina@tiscali.it Notice under the terms of art. 10, law 675/96 We will process the information indicated on the form both manually and electronically only for reservation. The information will not disclosed in any manner. You are not obliged to provide any information, but on line reservation will not accepted. Under the terms of art. 13, law 675/96, you have the right to obtain information about your personal data and request it to be cancelled, blocked, updated, corrected or supplemented, as well as to withhold permission to process said data by contacting the Hotel Gelsomina. Having read and understood the above notice, I hereby give my consent for you to process the information you have gathered.

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