 |
| Print
this form off then complete. Postal address is below. |
 |
| Fill
in your details below. Any Problems ? Then call 01225 3111184 |
 |
| Your Name / Company name | ................................................ | ||||||||
|
................................................ |
||||||||
| Post code | .................................................................. | ||||||||
| Daytime Tel. no. | ................................... | ||||||||
| Evening Tel. no. | ................................... | ||||||||
| ................................... | |||||||||
| Date of reservation | day month year | ||||||||
| Time preferred | |||||||||
| Number of people | |||||||||
Cardholder
details *
If paying by cheque, please make cheque payable to 'il tocco'. |
|
||||||||
| Card number | ................................................ | ||||||||
| Valid from date | ................................... | ||||||||
| Expiry date | ................................... | ||||||||
| 3
digit security code Credit cards only Last 3 numbers on back of card |
.................................... | ||||||||
| Issue
number Switch cards only |
.................................... | ||||||||
| Cardholders
address, inc. town or city & county. If different to address above |
................................................................... |
||||||||
| Cardholders
post code If different to above |
................................... |
| Please print this form then complete & post to ---> | ILTOCCO, Spring Gardens Road, Bath, BA2 6PW. Web - www.iltocco.co.uk |