PRENOTAZIONE PDF TEST 1

CUSTOMER INFO:

Name and Surname *

Address - Street *

City *

State *

Mail *

Country Code *

Mobile Phone *

TOUR DETAILS:

Tour Date ( AAAA-MM-DD ) Use this separator "-" between the fields *

Select Tour Type *

Number of adults *

Number of children ( 3-12 yr) *

Hotel/Accommodation *

DRIVERS INFO:

1ST DRIVER: *

Name And Surname *

Born in (City) *

On *

Resident in *

Street *

License N° *

License Front *

License Back *

Images valid format are: ( JPEG - PNG), MAX 2 MB

2ND DRIVER:

Name And Surname

Born In (City)

Resident in

Street

License N°

License Front

License Back

Images valid format are: ( JPEG - PNG), MAX 2 MB

Insert your message and acceptance:

Notes

In compliance with Italian Legislative Decree d.lgs.196/2003 personal data will not be spread to third party, they will be used only by Cinquecento S.n.c. for internal use, delivering our services and contact sender.