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INFORMATION

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PAYMENT BY CREDIT CARD

Vacanze Lago s.r.l.
Tel. +39 0341 940327
Fax. +39 0341 930576
Email: info@vacanzelago.com

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