Carnival of Venice 2012: Booking form

BOOKING & PAYMENT FORM

Please fill the following Form typing on the white areas and print it on your printer then return by FAX: (+39) 041.5242639

Otherwise ask a copy of this Form by E-mail ( clubit@meetingeurope.com ) or please contact us TEL: (+39) 041.5242668

EVENT	PLACE	DATE	€	persons	TOTAL
Hot Chocolate in costume	Gran Café Lavena	11.2	50
Il Minuetto	Hotel Danieli	11.2	250
IL RIDOTTO	Dandolo Palace - Hotel Monaco	11.2	450
SUNDAY LUNCH "COLOMBINA"	Hotel Danieli	12.2	150
Hot Chocolate in costume	Gran Café Lavena	12.2	50
Il Minuetto	Hotel Danieli	12.2	250
COTILLON	Hotel Danieli	13.2	100
Hot Chocolate in costume	Gran Café Lavena	14.2	50
VENEZIA VENUSIA	Hotel Danieli	14.2	300
COTILLON	Hotel Danieli	15.2	100
Ballo Tiepolo	Pal. Pisani-Moretta	16.2	490
Baroque Concert	S. G. San Giovanni Evangelista	17.2	90
Il Minuetto	Hotel Danieli	17.2	250	SOLD OUT
COTILLON	Hotel Danieli	18.2	100
IL RIDOTTO	Dandolo Palace - Hotel Monaco	18.2	450
Gondola Tour & Dinner	Antico Pignolo Restaurant	18.2	220
Hot Chocolate in costume	Gran Café Lavena	19.2	50
Il Minuetto	Hotel Danieli	19.2	250
COTILLON	Hotel Danieli	20.2	100
Gondola Tour & Dinner	Antico Pignolo Restaurant	20.2	220
Venezia Romantica	Hotel Danieli	21.2	450
				TOTAL

I WOULD LIKE TO PAY BY

CREDIT CARD

Owner's name

Visa, Amex or Mastercard CODE

Expiry Date Security Code

I've paid the sum of Date

Signature:

BANK TRANSFER

For any payment by bank transfer, we kindly ask You to use the following account

C.C.I. s.a.s. di Fabio Momo & C.

IBAN: IT67 F063 4502 0351 0000 0000 678 - (BIC: IBSPIT2V)

Cassa di Risparmio di Venezia - filiale: San Giacomo dell'Orio; 30124 Venezia (I)

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Name, Surname
Address
Post Code, Town (State)
Country
E-mail address
Telephone
Your Hotel in Venice:
Age:	under 28 28-40 40-50 50-65 65and over
Spoken languages:
Profession:
I will be accompanied by Mr./Mrs./Miss: please it's important that you fill in the following data also of your friends: Name, Surname, age and spoken languages: special celebrations (birthdays, proposals, anniversaries, etc.) food intollernce notes