Raumanfrageformular Raumverwaltung - International Psychoanalytic University gGmbH - Berlin

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Fields marked with a tick are mandatory. All other fields are optional.

Information on room occupancy

Information which is not requested here or for further information please write under 'Notes on room occupancy' below.

Number of persons

Please select a 'single date' ...

Start (DD.MM.YYYY)

End (DD.MM.YYYY)

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

1.Date (DD.MM.YYYY)

: - :

2.Date (DD.MM.YYYY)

: - :

3.Date (DD.MM.YYYY)

: - :

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

: - : Add data manually or with the calendar symbol with a ; separated (DD.MM.YY;...)

Contact details

If you have a customer number at hand, enter it together with the corresponding e-mail address. Otherwise, opional, only a mail address and other contact information.

Customer number

E-mail

Salutation

Forename

Last name

Company/Organization

Compartment

Cost centre

Street, No.

Postal code

City

Land

Web

Telephon 1

Telephon 2

Mobil

Fax

Date of birth

. .

Further information

Event title

Notes on room occupancy

Contact person on site

General remarks

Privacy policy

Imprint

Responsible according to § 55 RStV:

International Psychoanalytic University gGmbH
Stromstr. 3b
10555 Berlin (DE)
Tel.: 030 300117 801
sekretariat@ha.ipu-berlin.de

Technical Support Online Room Management:

OMOC.interactive
Bissenkamp 3
44135 Dortmund (DE)
https://www.online-raumverwaltung.de