Please fill in the form below and
click on submit below.
All the fields with a (*)
are required fields.
We offer accommodations incl. breakfast
in quiet,
single-, double,- trippel- and multi-bed
rooms.
Category 1:
WC and shower in doubleroom, from €
96.-
in singleroom, from €
69.-
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Please enter here any special wishes: |
| Personal Details: | Payment Details: | |||
| (*) Mr./Mrs./Ms.: | (*) I would like to pay by: | |||
| Fax No. +49-89-895167349 | ||||
| (*) Firstname: | ||||
| (*) Surname: | If you are paying by Credit Card, | |||
| please fill in *all* the fields below: | ||||
| (*) Address: | Credit Card Type: | |||
| Card Number: | ||||
| (*) ZIP: | (*) City: | Name on Card: | ||
| (*) State/Country: | Card expiry date: | (MM/YY) | ||
| (*) E-Mail: | Do you agree with these entries ? | |||
| (*) Telephone: | ||||
| Fax: | ||||