Trips to Poggio Verde Country Villa
We're delighted to have you join us as we explore the wonderful sights, food and wine of Northern Italy!

Each traveler should complete a registration. It's OK to leave travel details and trip/health insurance blank if you don't know them yet.

We'll send you an invoice for the non-refundable deposit of 500 euros per person and the remaining balance will be due 60 days before departure. Indicate on the form how you prefer to pay so we can invoice you correctly.

If a traveler cancels but the spot gets filled, we can refund the total. If there is a cancellation and the spot is not filled, trip cancellation insurance will take care of you.

We're looking forward to our adventure together!

Your Trip
Please select the trip you are registering for
First Name
As written on your passport or ID
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Last Name
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Your Email Address
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Street Address
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City, State
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ZIP
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Home phone number (include country code if not US)
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Mobile Phone Number
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Cell Phone Type
Your cell phone service provider
Birth Date (MM/DD/YY)
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Room Preferences
Please check all you are open to. We fill the villa first. There is a price adjustment for the Residenza and the Farmhouse apartment.
Arrival info (air to Milan MXP or train to Monza)
Please provide date, airline, time of flight arrival to Malpensa (MXP) or train into Monza. (e.g. 10/21/18 MXP UA19 8:50 AM. OR 10/21/18 train from Florence 11:30 AM.)
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Departure Info (flight from MXP or train from Monza)
Please include date, airline, flight# (or train #) and scheduled time of departure for flight from Malpensa or train (Monza).
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Emergency Contact Info
Name, cell, email of your emergency contact information
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Trip and Health Insurance
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Health Concerns
Have you had recent surgeries or do you have any chronic health conditions we should be aware of? Do you have any food allergies?
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Activity Level
Tell us about your general activity level. How far (or how long) can you walk comfortably? Are you OK with inclines/stairs?
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Your work and interests
What is (was) your field of work and what are a few of your interests? Are you involved in any organizations? (Optional)
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Social Media
Preferred Payment Method
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