Bed&Breakfast in Tuscany - Confirmation


                          Via Fax Confirmation Form



After having read your reservation policy, please confirm my reservation at Priello
Bed&Breakfast as specified below.


I authorize you to debit my credit card (specified below) for the amount of ____$
as a deposit for my reservation. 

I also authorize you to debit my credit card (specified below) for the amount of _______$
on the day of my arrival at Priello (indicated below as "check IN date")
as full balance due for my stay at Priello Bed&Breakfast.
The "full balance" includes all room charges and taxes but does not include
any extra (telephone and other variable items).

My name/surname is: ___________________________________________________________________


My credit card type is __Visa or __Matercard and the number is: _______________________


The card is valid until: ____/____


I will check IN at Priello Bed&Breakfast on: _________ and will check OUT on: _________ 




                                          Sincerely,


                                          ___________________________________

                                          (Signature)