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.
Please choose a 'single appointment' ...
... or 'single appointments with different times':
... or 'single appointments with same times':
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.
Bürgerzentrum Ehrenfeld - Büze e. V. Venloer Str. 429 50825 Köln (DE) Tel.: 0221 54 21 11 Fax.: 0221 546 21 90 info@bueze.de http://www.buergerzentrum.info/
OMOC.interactive