Room Reservation

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Your personal details

Salutation(*)

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First name(*)

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Last Name(*)

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Street(*)

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Subject(*)

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City(*)

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Your Phone(*)

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Your Email(*)

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Details of the desired reservation

Room request(*)

Bitte tragen Sie Ihren Zimmerwunsch ein

Arrival(*)

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Number of rooms(*)

Bitte tragen Sie die Anzahl der Zimmer ein

Departure(*)

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Message

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Data protection(*)

Accept data protection regulations. I agree that my personal data may be processed and used by the Arbeiter-Samariter-Bund Baden-Württemberg e.V. Region Pforzheim for the purpose of my further support and, if necessary, the sending of information. Your data will not be passed on to third parties and personal data will not be sold. I can object to the processing or use of my data at any time by contacting the Arbeiter-Samariter-Bund Baden-Württemberg e.V. Region Pforzheim. The correction, blocking or deletion of your personal data is possible at any time.

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