Raumanfrageformular Raumverwaltung - Stadt Schortens

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Die mit einem ✔ versehenen Felder sind Pflichtfelder. Alle anderen Felder sind optional auszufüllen.

Please note any information that is not requested here or any further information under 'Notes on occupancy' below.

1. Occupancy data

Occupancy data

1.1 Basisangaben

Please choose a 'single appointment' ...

Start (DD.MM.YYYY)

End (DD.MM.YYYY)

... or 'single appointments with different times':

1.Date (DD.MM.YYYY)

: - :

2.Date (DD.MM.YYYY)

: - :

3.Date (DD.MM.YYYY)

: - :

... or 'single appointments with same times':

: - :
Add dates separated by a ; (DD.MM.YY;...) manually or with the calendar icon

2. Details of the contact

Details of the contact

If you have a customer number at hand, enter it together with the corresponding mail address. Otherwise only a mail address and further contact details.

Customer number

✔ Email

Salutation

First name

✔ Last name

Street, No.

Postcode

City

Phone 1

3. More details

More details

Notes on occupancy

Contact person (on site)

General remarks

Provider

Stadt Schortens
Oldenburger Str. 29
26419 Schortens (DE)
Tel.: 04461 80198
buergerhaus@schortens.de

Operator

OMOC.interactive

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