Raumanfrageformular Raumverwaltung - Bürgerzentrum Ehrenfeld - Büze e. V. - Köln

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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

Number of persons

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

Company/Oranisation

Department

Cost center

Street, No.

Postcode

City

Country

web

Phone 1

Phone 2

Mobile

Fax

Date of birth

. .

3. More details

More details

Event title

✔ Notes on occupancy

Contact person (on site)

General remarks

Provider

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/

Operator

OMOC.interactive

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