Reservation Form

Please complete and send to:

    IL BORGO DEL LUPO   Loc. Fontevetriana, 53047 Sarteano (Siena - Italy)

Tel Ab. e Fax 0039 0578 265929            Cell. +39 335 8195919            E-mail. ilborgodellupo@libero.it

First Name _________________________ Surname _________________________

Street ______________________________ Number _____ Town _____________________________

Post-code __________ Comune _________________________ Province ____________________

Nationality ____________________

Telephone number _______________ Fax _______________ E-mail _________________________

N° persons _____ of which children n° _____ aged _____ _____ _____

N° _____ domestic animals                  type _______________ breed _______________

   type _______________ breed_______________

Booking dates from _______________ to _______________

I have paid € __________ , 30% of the total for the holiday, by [ ] by bank or post office transfer [ ] by postal order. The remaining 70% (€ __________ ) I will pay on arrival.

Date _______________

Signature ____________________

P.S. Before completing and sending the form, please contact us by phone or e-mail to check the avaliability.