Company *

Salutation * Mr. Mrs. Fam.

Surname *

First name *

Street *

Postal code *

City *

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Phone *

Fax

E-Mail

Division

Occasion of the event

Start of the event

End of the event

Starts at

Ends at

Possible alternative date

Minimum-participants

Maximum-participants

Catering Welcome coffee
Coffeebreak in the morning
Lunch
Coffeebreak afternoon
Dinner

Arrivaldate

departuredate

Number of single rooms

Number of double rooms

Guest preferences

Minimum size (sm)

Seating Rows of chairs Parliamentary U-shape Block Chair-circle

signposting

Seating Rows of chairs Parliamentary U-shape Block Chair-circle

signposting

Other

Number

Technical requirement Flipchart
Pinboard
Canvas
Beamer
Moderators case
Lectern
Microphone
Sound system
TV
W-Lan
DSL
Stage

Other

Conference services Total bill Self-payer

Drinks during the meal Total bill Self-payer

Overnight stay Total bill Self-payer

Garage Total bill Self-payer

Authorised signatory

Billing address

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