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Bed & breakfast 

number of persons*:

male   female  thereof children:


number of
single rooms*
number of 
double rooms*
number of 
triple rooms*
number of 
quadruple rooms*


arrival*
departure*  

 
surname*
first name*
adress*
postcode* - location*   - 
nation*
cellular phone*
fax
email*
message

privacy* I agree to the privacy provisions
general conditions*  I agree to the articles of agreement


akt. 06.08.2012  
 
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