- Read the Booking Terms - Filled in this form (All Fields Are Required) - Print, Sign and Mail the form to us with your payment. (See Payment Table for examples.)
Name
Address
City
State AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY -Terr.- AS FM GU MI PR VI Zip Code
Country
Phone (s)
Alternate Phone
E-mail
Guests
Adults 1 2 3 4 5 6 7 8 9 10 11 12 Children 0 1 2 3 4 5 6
Length of Stay
1 2 3 4 5 6 7 8 Week(s) - From Saturday
To Saturday
Rental Fee =
$ (1)
Enter the full rental fee here.
Security Deposit +
$ (2)
Enter $300 unless arranged otherwise.
Total Due =
$ (3)
Enter the total price of (1) plus (2).
Amount due at time of booking =
$ (4)
If you are paying less than 4 months before your arrival date, enter the amount in3), otherwise enter 50% of the amount in (3).
Due 4 months prior to arrival date =
$
Enter the value in (3) minus the value in (4).
The preferred method of payment is by bank wire but we do accept personal checks and credit cards (through PayPal). However you choose to pay, please send this form to the mailing address below.
Payment Method
Bank Wire Check Credit Card
Mail To:
Sojourn In Italy P.O. Box 30130 Santa Barbara, CA 93130
Comments
I have read and agree to the Il Rifugio Booking Terms.
Authorized Signature
Date
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