Registration Form

Registration Form
until 30. October at the latest!
Prodomo Hotel
Wilhelmstraße 1
24937 Flensburg
Telefax: 0049-(0)461/8608-200
(Phone: 0049-(0)461/8608-0)
Room Reservation Reserv. No. 19448,000
Übernachtungsbuchung „bvse“-Kontingent, Reservierungsnr. 19448,000
I herewith reserve / hiermit reserviere ich verbindlich
_____ Single Room (EZ) from/vom ___________ until/bis
_________
under the name/auf den Namen
__________________________________
price/Preis: € 33,50 incl. breakfast/inkl. Frühstück.
Name:
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Address/Anschrift:
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Phone/Telefon:
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Telefax
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Place/Date Ort/Datum
Signature/Unterschrift