Raumanfrageformular Raumverwaltung - Nachbarschaftshaus Wiesbaden e.V.

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

Angaben die hier nicht abgefragt werden oder weitere Informationen können unter 'Anmerkungen zur Belegung/zur Veranstaltung' weiter unten notiert werden.

1. Occupancy information

Occupancy information

1.1 Basic information

Number of persons

1.2 Period

Please select a room from the list above!

One-on-one 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':

Time: : - :
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

Anmerkungen zur Belegung/zur Veranstaltung

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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