Entrance Card

Group                 

Group name
  
Responsible of the group  
Group address  
Group telephone
  
Responsible address  
Responsible telephone  
Responsible cellular  
Responsible e-mail  

Income
Keys delivered to  
Day of previewed arrival  
Estimated time of arrival  
Duration of the previewed stay  
Estimated number of presents
  
Advanced payment €

The undersigned _________________________ born in ____________________ the __/__/__ (document type _______ n. _________________ delivered by ________________ the __/__/__) declares to assume the responsibility of eventual damages to persons or things caused during the over indicated stay in the house of the Costa of Lagomarsino di Lumarzo n.64.

Place and date: ___________-__/__/__

Signature _________________________