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(* Please fill out all required fields.)
 
Hotel Booking Form

All rates quoted are per room per night and include breakfast. The travel agency DER Deutsches Reisebüro will come back to you directly after receiving your booking form.

 
First name *
Last name *
Address *
Post/Zip Code * / City *
Country *
Phone *
Fax
E-Mail *
 

Arrival Date * No. of nights. *
Departure Date *

Remarks

Please debit my  VISA
 EUROCARD
 Diners Club
 Amex
 Mastercard
Card No:
sixteen digits on the front three digits on the back
Exp. Date:
 / 
month year
Card holder:


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