Hotel Citara

Booking Request
	Name *()**	Surname *()**

	E-mail address *()**	Phone *()**

	City	Address

	Check IN *()**	*Adults()**	Adult third bed
	06-09-2010		NO	YES
	Check OUT *()**	Children	Child third bed
	06-09-2010		NO	YES
	Room type *()**	*Accomodation()**

	Notes:
	I have read the Information about Private Data Management and I agree that my personal data shall be used only for those purposes related to the management of activities for which I authorized their use. () () Required fields**