Title Mr.Mrs./Miss
Surname* First name* Organisation
Street, house number* Postal code, Town* Country*
Telephone* E-Mail*
name Organisation
Street, house number Postal code, Town Country
What amount?*
The payment is to be made in advance. Kindly transfer the amount +€ 1,- for processing and postage to the following bank account:
Spar- und Kreditbank eG Bad Homburg BIC : GENODE51BH2 IBAN: DE04 5009 2100 0000 2201 16
*Thanks, I have read the privacy policy (http://ferienstaette-dorfweil.de/en/data-privacy-statement/) and agree that the data I've provided can be collected and stored accordingly. However my data should be strictly used in order to process and respond to my request. I therefore confirm that my data can be used for its intended purpose.
* These fields are mandatory and must be completed.
Bitte lasse dieses Feld leer.
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