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* request field Type of Request:* Information Booking Other Personal information Name:* Last name:* City: Address: ZIP: Phone:* Fax: Email:* Information on the permanence Adults:* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Children: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Check in date:* Check out date (the morning of):* Accommodation:* Single room Twin room Double room Double room + 1 bed Double room + 2 beds Arrangement:* Half board Only bed Bed and breakfast Notes:* By sending this message, I authorise Hotel Casa Mia to include the data received in its lists for sending informative or advertising material. As per art. 13 of D.Lgs. 196/2003, I may have this data modified or cancelled at any time or I may prevent it from being used by writing or e-mailing the Hotel Casa Mia.