C.C.I. - Carnival of Venice 2011

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

 

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:


 

EVENT

PLACE

DATE

persons

TOTAL

Hot Chocolate in costume

Caffé Lavena

26.2

50

"Il Minuetto"

Hotel Danieli

26.2

250

"Carnival Dream"

Dandolo Palace - Hotel Monaco

26.2

450

Hot Chocolate in costume

Caffé Lavena

27.2

50

"COTILLON"

Hotel Danieli

27.2

250

Hot Chocolate in costume

Caffé Lavena

1.3

50

"COTILLON"

Hotel Danieli

2.3

80

"Ballo Tiepolo"

Pal. Pisani-Moretta

3.3

490

 

Baroque Concert

Ca' Rezzonico

4.3

90

"Il Minuetto"

Hotel Danieli

4.3

250

 

"COTILLON"

Hotel Danieli

5.3

80

"Carnival dream"

Dandolo Palace  - Hotel Monaco

5.3

450

 

Gondola Tour & Dinner 

Antico Pignolo Restaurant

5.3

220

Hot Chocolate in costume

Caffé Lavena

6.3

50

"Il Minuetto"

Hotel Danieli

6.3

250

"COTILLON"

Hotel Danieli

7.3

80

Gondola Tour & Dinner

Antico Pignolo Restaurant

7.3

220

"Venezia Romantica"

Hotel Danieli

8.3

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

Signiture:

 

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)

 

Please send me the invoice at my company name

Company name

Address

Post Code, Town (State)

Country

VAT number

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