RomeBy.Com
Reservation Form via Fax: Domus Urbana

ONLY FOR RESERVATIONS - NOT TO BE USED FOR AVAILABILITY REQUESTS
Print it and fax it to one of the following fax numbers:

• In the UK (London): +44 (0)207 6811198
• In the USA (San Francisco, CA): +1 415 704 3157

Traveller Information

Full Name:_____________________________________________________________
Address1:______________________________________________________________
Address2:______________________________________________________________
City:___________________________________________________________________
State:___________________________ Zip/Post Code:_________________________
Country:________________________________________________________________
E-Mail: (Very important. Please, spell and write correctly with capital letters) ________________________________________________________________________
Telephone:______________________________________________________________
Fax:___________________________________________________________________

Cancellation Policy
(Apartment occupancy)

From	To	Cancellation Fee
Reservation	0 hours before Check In	30%
No Show	-	30%

(Apartment sleeps)

From	To	Cancellation Fee
Reservation	0 hours before Check In	30%
No Show	-	30%

Payment Policy

When	Type	Amount	By
At Reservation	Non-Refundable Down Payment	30%	Bank Transfer
At Check In	Final Payment	70%	Cash

Signature:_______________________________________________________________
(Required)

Accommodation ! Arrival Date ! Departure Date ! How many guests

!__________________!______________________!__________________!___________!
!__________________!______________________!__________________!___________!
!__________________!______________________!__________________!___________!

Special requests:
_____________________________________________________