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Customer (name / name of organization) :* |
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Contact inf -tion (address, tel. / Fax , e-mail):* |
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Date of the alleged arrival (dd.mm.yyyy):* |
 (MM/DD/YYYY) |
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Date of intended departure (dd.mm.yyyy):* |
(MM/DD/YYYY) |
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Type of room: |
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Number of adults: |
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Number of childrens: |
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Transfer ( from ) : |
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Method of payment: |
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Additional requirements: |
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| Protection from automated form filling |
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| Please type in the symbols shown in the image above* |
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