Raumanfrageformular Raumverwaltung - Nachbarschaftshaus Wiesbaden e.V.

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The fields marked with a ✔ are mandatory. All other fields are optional.

Information that is not requested here or further information can be noted under 'Notes on occupancy' below.

1. Occupancy information

Occupancy information

1.1 Basic information

Number of persons

1.2 Period

Please select a 'single appointment' ...

Beginning (TT. MM.YYYY)

End (TT. MM.YYYY)

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

1.Date (TT. MM.YYYY)

: - :

2.Date (TT. MM.YYYY)

: - :

3.Date (TT. MM.YYYY)

: - :

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

: - :
Data can be changed manually or with the calendar icon with a ; can be added separately (TT. MM.YY;...)

2. Details of the contact

Details of the contact

If a customer number is known, enter it together with the corresponding e-mail address. Otherwise, only an e-mail address and other contact details.

Customer number

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. Additional Information

Additional Information

Event title

Notes on occupancy

Contact person (on site)

General remarks

Provider

Nachbarschaftshaus Wiesbaden e.V.
Rathausstraße 10
65203 Wiesbaden (DE)
Phone: 0611/96721-30
info@nachbarschaftshaus-wiesbaden.de

Operator

OMOC.interactive

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