Servizio Turismo Via della Lirica n. 11 - 48122 Ravenna Tel. 0544 506020 [email protected] MODULO PER LA SEGNALAZIONE DEI RECLAMI REKLAMATI ONSBERI CHT- FORMULAI RE POUR LA SI GNALI SATI ON DES RECLAMATI ONS- CLAI M FORM SOGGETTO RECLAMANTE: Data: ____/____/________ (Reklamant - Personne qui dépose la réclamation - Claimant) Nome (Datum - Date - Date) Cognome (Vorname - Nom - First Name) (Familienname - Prénom - Surname) Indirizzo C.A.P. (Adresse - Adresse - Address) (Postleitzahl - code postal - postcode) Telefono (Telefon - Téléphone - Telephone) Città Fax Provincia (Stadt - Ville - Town) (Staat - Etat - Country) E-mail STRUTTURA RICETTIVA OSPITANTE: (Gast bei - Structure réceptive - Accomodating Facilities) Denominazione e Indirizzo (Name/Feriendomizil - Nom/Adresse de l'hôtel - Name/Address of the hotel) Stanza n. Periodo del Soggiorno (Zimmer n. - Chambre n. - Room n.) (Ferienaufenthalt vom/bis - Periode de vacances de/à - Holiday period from/to Trattamento: (Bewirtung - Traitement - Treatment) Pensione Completa Mezza Pensione (Vollpension - Pension complète - Full board) (Halfpension - Demi-pension - Half board) Pernottamento nur Übernachtung - seulement nuitée - only bed Pernottamento e Prima Colazione Übernachtung und Frühstück - Nuit et petit déjeuner - accomodation and breakfast Prenotazione scritta Prenotazione verbale (schriftliche Reservierung - Réservation écrite - Written booking) (mündliche Reservierung - Réservation verbale - Oral booking) Caparra: Prezzo pattuito al giorno ________________________ (Anzahlung - Arrhes - Deposit) (vereinbarter Preis pro Tag - Prix convenu par jour - fixed price per day) sì (Ja - Ouì - Yes) URO___________,____ Prezzo pattuito per l'intero soggiorno ______________ no (vereinbarter Preis für den gesamten Aufenthalt - Prix convenu pour tout le séjour - fixed price for stay) MOTIVO DEL RECLAMO (Grund der Beschwerde - Motif de la réclamation - Reason for complaint) _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Provincia di Ravenna Servizio Turismo Via della Lirica n. 11 - 48122 Ravenna Modello Modulo Reclami Pagina 1 di 2 Servizio Turismo Via della Lirica n. 11 - 48122 Ravenna Tel. 0544 506020 [email protected] Firma del reclamante (Unterschift des Reklamanten - Signature de la personne qui dépose la réclamation - Signature of the claimant) _______________________________ MOTIVO DEL RECLAMO (Grund der Beschwerde - Motif de la réclamation - Reason for complaint) _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Firma del reclamante (Unterschift des Reklamanten - Signature de la personne qui dépose la réclamation - Signature of the claimant) _______________________________ Provincia di Ravenna Servizio Turismo Via della Lirica n. 11 - 48122 Ravenna Modello Modulo Reclami Pagina 2 di 2