Company/Agency/Particular:

Contact Person:

Address:

Zip code:

Town:

State:

Country:

Telephone:

Event Name:

Participants:

From:

To:

Email

Flexible Date:SiNo

From (alternative):

To (alternative):

Rooms:  SiNo

Type Room:

Individual:

Double:

Junior Suite:

Lounges booking:YesNo Participant number:

Montage:ReceptionCocktailTheaterSchoolCabaretImperialRestaurantCoffee BreakOthers

Meals:ADMPPC

Cocktail:YesNo

Welcome drink:YesNo

Coffe Break:YesNo

Audiovisual Media:  YesNo

Porters:YesNo

Do you have an agreement with our company?YesNo

Comments:

I have read and accept data protection information [See]