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Your Address (please complete):

Customer number (if known):

Salutation:

Frau Herr Mrs. Mr. Miss

Titel:

Dr. Prof. Prof. Dr.

Given name:

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Adresse:

Postal code:

City/Location:

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other country please register here:

Please give us with as many telephone numbers as possible, that we can contact you in case of any questions during the day (format: +49 89 123456).

Telephone (private):

Country:     Location:

  Number:

Mobile:

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  Number:

Email (up to 40 characters):

Date of birth:

          Format: DD.MM.YYYY, e.g.: 21.01.1976

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Please enter your holiday wishes here!

Travel time (date):

from:

          Format: DD.MM.YYYY, e.g.: 21.01.1976

till:

          Format: DD.MM.YYYY, e.g.: 21.01.1976

Number of persons:

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20-25 26-30 31-50

Children: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 20-25 26-30 31-50

Age of children:

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17

Cot:

 Yes

 No

Pet:

 (Please tick, if you want to travel with an pet)

Desired accommodation:

Name of the accommodation:

Accommodation code:

 -

E.g.: IG-PEME

(Code is at the beginning of the house description!)

Location of accommodation:

Apartment type(s):

or 

If this accommodation is not available for the desired time period, we have chosen the following alternative accommodation according to the order of priority!

1.

Name of the accommodation:

Accommodation code:

 -

E.g.: IG-PEME

(Code is at the beginning of the house description!)

Location of accommodation:

Apartment type(s):

or 

2.

Name of the accommodation:

Accommodation code:

 -

E.g.: IG-PEME

(Code is at the beginning of the house description!)

Location of accommodation:

Apartment type(s):

or 

Comment:

Herewith we assure you that your entered data will not be passed on to 3rd parties, or will be misused in any other way!