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* Necessary data

Surname*	Name*

City	Telephone*

Fax	E-mail*

Numbers of rooms	Type of room

Position of room	Arrangement

Date of arrival*	Date of departure*
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Numbers of adults

Number of childrens (up to 3 years)	Number of childrens (from 3 to 6 years)

Number of childrens (from 7 to 12 years)	Number of childrens (oltre 13 anni)

Protection of privacy Italian Law 196/2003 Hotel Panama guarantees that all personal data transmitted to them will not be publicized. * I hereby declare having read the information shown above yes* no