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Medium and long-term rentals request form

(*obligatory fields)

Title* (Mr, Mrs, Miss, Ms)
First name*
Last name*
Address*
Telephone (day)* (including area code)
Telephone (evening) (including area code)
Mobile (including area code)
Fax (including area code)
Email*
Occupation
Purpose of stay in Italy
How did you hear about us?

Travellers

Total number of travellers*	0 1 2 3 4 5 6 7 8 9 10 11 12
Number of adults	0 1 2 3 4 5 6 7 8 9 10 11 12
Number of children	0 1 2 3 4 5 6 7 8 9 10 11 12	Age of children (separate with commas)
Pets	0 1 2 3 4 5 6 7 8 9 10 11 12

I would like to book the following property:

Property reference no.
Date of arrival (dd/mm/yy)
Date of departure (dd/mm/yy)
Special requirements
Additional services required (view details)

If the above property is not available please provide me with information on:

Type of property	Villas Apartments Other - please specify: Desired size of property: sqm ; sqft
Desired location/region
Number of bedrooms	0 1 2 3 4 5 6 7 8 9 10 11 12 with 1 double bed 0 1 2 3 4 5 6 7 8 9 10 11 12 total number of bedrooms 0 1 2 3 4 5 6 7 8 9 10 11 12 with 2 single beds   0 1 2 3 4 5 6 7 8 9 10 11 12 with 1 single bed
Number of bathrooms	0 1 2 3 4 5 6 7 8 9 10 11 12
Outside space	Terrace Garden Balcony
Swimming pool	Yes No
Furnished	Yes No Semi-furnished Other - please specify
Special requirements
Additional services (view details)
Price range (please specify currency)	per month
Length of time
Rental period dates (if known)

 

Tel: +39 06 4881 800 - Fax: +39 06 4881 384
E-mail: info@homeinternationalservices.com
P.IVA/C.F.: 12978931009