Guest Name(s):

Prefer to be called:

Guest Phone Number:

Guest Email Address:

Date of desired arrival: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Month January February March April May June July August September October November December / Year 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025

Estimated time of arrival to Roli’s B&B: 1 2 3 4 5 6 7 8 9 10 11 12 : 00 10 20 30 40 50 AM PM

Date of desired departure: Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / Month January February March April May June July August September October November December / Year 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 2025

Day 1

Breakfast Choices: Select an Entree FREE Continental BreakfastVeggie Omelette Ham & Cheese Omelette Plain Waffle Strawberry or Blueberry Waffle Two Eggs and Bagel Two Eggs and Toast

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Dinner Choices:
Select an Apetizer Tapas de La Casa

Select a Soup or Salad Tomato Basil Soup Cream of Broccoli Soup House Garden Salad Small Green Salad

Select an Entree Grilled Chicken Breast with Veggies and White Rice Pasta with Chicken and Veggies Pasta with Shrimp and Veggies Pasta with Veggies Fillet Mignon Steak Rib Eye Steak

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Day 2

Breakfast Choices: Select an Entree FREE Continental BreakfastVeggie Omelette Ham & Cheese Omelette Plain Waffle Strawberry or Blueberry Waffle Two Eggs and Bagel Two Eggs and Toast

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Dinner Choices:
Select an Apetizer Tapas de La Casa

Select a Soup or Salad Tomato Basil Soup Cream of Broccoli Soup House Garden Salad Small Green Salad

Select an Entree Grilled Chicken Breast with Veggies and White Rice Pasta with Chicken and Veggies Pasta with Shrimp and Veggies Pasta with Veggies Fillet Mignon Steak Rib Eye Steak

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Day 3

Breakfast Choices: Select an Entree FREE Continental BreakfastVeggie Omelette Ham & Cheese Omelette Plain Waffle Strawberry or Blueberry Waffle Two Eggs and Bagel Two Eggs and Toast

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Dinner Choices:
Select an Apetizer Tapas de La Casa

Select a Soup or Salad Tomato Basil Soup Cream of Broccoli Soup House Garden Salad Small Green Salad

Select an Entree Grilled Chicken Breast with Veggies and White Rice Pasta with Chicken and Veggies Pasta with Shrimp and Veggies Pasta with Veggies Fillet Mignon Steak Rib Eye Steak

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Day 1

Breakfast Choices: Select an Entree FREE Continental Breakfast Veggie Omelette Ham & Cheese Omelette Plain Waffle Strawberry or Blueberry Waffle Two Eggs and Bagel Two Eggs and Toast

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Dinner Choices:
Select an Apetizer Tapas de La Casa

Select a Soup or Salad Tomato Basil Soup Cream of Broccoli Soup House Garden Salad Small Green Salad

Select an Entree Grilled Chicken Breast with Veggies and White Rice Pasta with Chicken and Veggies Pasta with Shrimp and Veggies Pasta with Veggies Fillet Mignon Steak Rib Eye Steak

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Day 2

Breakfast Choices: Select an Entree FREE Continental Breakfast Veggie Omelette Ham & Cheese Omelette Plain Waffle Strawberry or Blueberry Waffle Two Eggs and Bagel Two Eggs and Toast

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Dinner Choices:
Select an Apetizer Tapas de La Casa

Select a Soup or Salad Tomato Basil Soup Cream of Broccoli Soup House Garden Salad Small Green Salad

Select an Entree Grilled Chicken Breast with Veggies and White Rice Pasta with Chicken and Veggies Pasta with Shrimp and Veggies Pasta with Veggies Fillet Mignon Steak Rib Eye Steak

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Day 3

Breakfast Choices: Select an Entree FREE Continental Breakfast Veggie Omelette Ham & Cheese Omelette Plain Waffle Strawberry or Blueberry Waffle Two Eggs and Bagel Two Eggs and Toast

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Dinner Choices:
Select an Apetizer Tapas de La Casa

Select a Soup or Salad Tomato Basil Soup Cream of Broccoli Soup House Garden Salad Small Green Salad

Select an Entree Grilled Chicken Breast with Veggies and White Rice Pasta with Chicken and Veggies Pasta with Shrimp and Veggies Pasta with Veggies Fillet Mignon Steak Rib Eye Steak

Select a Beverage Coke Sprite Lemonade Café Latte Single Espresso Green Tea

Date and Time of
Flight Arrival

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Flight Departure

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