Use this form to book your holiday    
*Surname:
*Name:
*Home address:
*Town:
*ZIP:
*Country:
State
*Home telephone:
Mobile telephone:
*E-mail:
Travel details
*Number of people:

*Select your holiday:
Holiday cost :
 (Holiday cost in Euro excl. VAT)
*Number of nights:
*Arrival date
*Arrival time
   
*Arrival flight nb.
*Departure date
*Departure time
   
*Departure flight nb.
*Arrival/Departure airport :
Special food/accomodation requirements
Vegetarian
   
*Single Room
  Single bed
Double bed
*Double Room
  2 single beds
1 Double bed
Please add your specific comments/requirements


Please note that fields marked with (*) are compulsory

Please make sure you insert here the code you received with your brochure to obtain a special present during your holiday with Lombardy Wine Tours.
(contact us if you have no code or have forgotten it)

 

Please confirm that you have read and accepted Lombardy Wine Tours Terms and Conditions

I have read and accepted Lombardy Wine Tours terms and conditions

Please make sure your e.mail address is correct before submitting the form.