reservation - IDM Schwimmen

RESERVATION
ARRIVAL:
_____________
DEPARTURE:
_____________
PERSON:
_____________
ROOM:
______ SINGLE (89,00€ incl. breakfast, Wlan and Sauna)
______ DOUBLE (109,00€ incl. breakfast, Wlan and Sauna)
REQUEST:
O NON SMOKING
NAME:
____________________________________________
ADDRESS:
____________________________________________
O SMOKER
O EXTRABED €25,00
____________________________________________
PHONE:
____________________________________________
E-MAIL:
____________________________________________
GUARANTEE
CREDIT CARD NUMBER:
________________________________
VALID DATE:
________________________________
CARD HOLDER:
_______________________________________________
NOTES
IDM Schwimmen
NEWBERLN
PETERSBURGERSTRASSE 24
10249 BERLIN
EMAIL [email protected]
TELEFON +49 30 4202 56 0
TELEFAX +49 30 4202 5699