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Request

 

 

 
 
 
 
     To secure an accommodation, please complete this entire form.
 
Upon processing your request, you will receive a letter via fax or e-mail confirming your reservation. This letter will contain all necessary information pertaining to your accommodation and instructions for cancellation.

 
Title:
Last Name:
First Name:
Company:
Department:
Employee number (for Siemens-employees only):
Street:
Postal Code:
City:
Country:
Date of visit (from/to): from     to     
Number of visitors:
Age of the children:
What type of lodging do you prefer?:
Please indicate your price range per night in € (EURO): from  €  to   €
Phone:
Fax:
e-mail address:
Name of credit-cardholder:
Credit-card Institut:
Credit-card number:
Expiration date MM/YY:
Comment:

H&B Höfel und Bergmann GmbH Tel.:      +49 9131 970666         
Hofmannstr. 95 Fax:       +49 9131 970667
91052 Erlangen e-mail:          hoefel-bergmann@t-online.de