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Personal Data
M / F *
Last Name *
First Name *
Address
City
Zip Code
Country *
Telephone *
Mobile
Email *
Accomodation
Type accomodation *
Package
Breakfast incl.
Half board incl.
Full board incl.
Airport transfer
Starters package
Late check-out
Number of adults *
Number of children >2 <12 *
Number of children >12 *
Amount of rooms *
Arrival date *
Departure date *
Flight number
Special requests
Please arrange special care service
Which medical diagnoses does the patient have?
Which medicines does the patient use?
Requested date of service and time of duration?
Type of wheelchair
Wheelchair Sizes
Other information
Please reserve assistive equipment
Remarks

 

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This request is not a confirmed reservation yet. After receiving your request we will check our availability and contact you by email as soon as possible.
If you may have any questions regarding the reservation please do not hesitate to contact us.