Personal data Please fill in completely this part of the form, to be contacted by Hotel Eden. Thank-You! Name and Surname Address Cap Town Province State Italy Germany France United Kingdom Netherlands Switzerland Austria Sweden Finland Belgium Norway Denmark United States Canada Ireland Poland Russian Australia Japan Spain Hungary Israel Brazil Other Email Telephone Telefax   Arrival Departure Total nr of Persons 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JAN FEB MAR APR MAG GIU LUG AGO SET OTT NOV DIC 2010 2011 2012 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 JAN FEB MAR APR MAG GIU LUG AGO SET OTT NOV DIC 2010 2011 2012   Adults 1 2 3 4 5 6 7 8 Baby 0 1 2 3 4 5 6 7 8  Message    Disclaimer for the Law of Privacy I DECLARE that the data being reported here are personal and according to the law on privacy I authorize the full use of them to your company for indoors and outdoors use. I authorize you to use the following data for the authorized purposes by law.