If you want to make a reservation for "IL BORGO DI GIULIO II" in Ostia Antica, please print this form on your printer, complete it in block-letters, and send it to: Dolly Steenbergen Boterstraat 12 (NL) 6701 CW Wageningen The Netherlands Any questions? e-mail: rome@stonehill.nl. If possible, I would like to reserve "IL BORGO DI GIULIO II" in Ostia Antica for ...... nights ( ) for 2 persons ( ) for 3 persons Date of arrival : date of departure: Name : Phone/GSM : Initials : Email address : Address : Bank account : Zip code + City : IBAN : Country : BIC : I have transferred the initial payment to bank account 92.33.27.258 of ING (IBAN: NL35 INGB O923 3272 58; BIC: INGBNL2A) in name of D.Steenbergen, Wageningen, the Netherlands and I am obliged to pay the rest of the money upon arrival in Ostia Antica. We travel by ( ) plane to airport Ciampino/Fiumicino/unknown ( ) car ( ) train We are with persons. Dates of birth: .. - .. - .... , .. - .. - .... , .. - .. - .... Date: Signature: PS: After payment of the initial payment you will receive a confirmation.