Booking form
Imprimer  

To fill an print...

 
 1. Your coordinates
Name First name
Address Country
City Zip Code
Tel E-mail
 
 2. Your choice
Reference
Dates: from to
Number of people Total number   adults   children less than 2 years old
    children less than 6 years old   children less than 12 years old
 
 3. Amount of the rental
Amount of the rental   €
• Deposit 30 % (classic)
100 % (immediate departure) 		€
• Booking fee   €
Total reservation amount  
€
 
 4. Payment mode
Transfer
Bank: Bank of Valleta - Republic Str - Victoria - Gozo
Account No. 40017234324 VILLAS MALTA SERVICES
BIC: VALLMTMT
IBAN: MT09 VALL 2201 3000 0000 4001 7234 324
To validate your reservation, fill up, print and fax this form as well as the bank proof of transfer to (+33) (0)3 25 80 02 32
Credit card
Name written on the card
 
Card number
Expiration date
CVV*

To validate your reservation, fill up, print and send this form by fax to: (+33) (0)3 25 80 02 32

 

*The CVV is a 3 digit code embossed or imprinted
on the reverse side of the card
"I certify having read general and particular conditions for sales of Villas Malta".
In : Date :
 
Signature with handwritten sentence "read and appproved" :