Surname & Name: Email: Tel: Arrival:     Departure:      Breakfast:    Si No   N. Adults 1 2 3 4   N. Children 0-12   0 1 2 3 4 Requests:   According to the law D. Lgs. 196/2003 for the respect of privacy, I, the undersigned, authorise VILLA EGIZIA to deal with and disclose my personal details. Owing to art. D. Lgs. 196/2003 , I can exercise all the right it provides for at any moment .       Azienda Agricola VILLA EGIZIA - P. IVA 03536390283- Via Galzignana, 40 - 35041 Battaglia Terme (Padova) - Tel./Fax +39 049 525149