Vacanze Lago - Payment Credit Card

Dear client,
In order to effect the payment by credit card, you are kindly requested to complete this form about general information as follows:
Name and surname of the person who signed the contract, booking code, total amount (these data are specified in the e-mail about booking confirmation received by Vacanze Lago).

Many thanks.

GENERAL INFORMATIONS

	Place of vacation:
	Vacation home or apartment:
	Vacation date from:	to
	Name of Customer:
	Tel no.:
	E-mail address:

PAYMENT INFORMATIONS

	Booking code:
	Total amount:	. euro