This form is not valid as a reservation
unless confirmed by us by e-mail or other methods.

Name*   Surname*
Address   Zipe Code
City   State/Province
Phone   Fax
Mobile   Email*

Request:

Security-code*

The Agriturismo, fully respecting enforced regulations (196/03), guarantees the confidentiality of your data.The data is exclusively reserved for reservation request and availability
and will not be yielded to third parties. You can also request cancellation at any time by
contacting the Agriturismo.

* Obligatory fields

Via Polledraia, 2 - 57021 VENTURINA (LI) tel. 0565850106 - mobile 333 9246867 - info@diciocco.it