Reservation Request
Name:
First Name:
Street:
ZIP-Code:
Town:
Country:
E-Mail:
Telephone:
Fax:
Single Room
Double Room
Suite
Arrival Time:
before 6.00 p.m.
after 6.00 p.m.
Room type:
single room
double room
Suite
Number of rooms:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Arrival Date:
day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
month
January
February
March
April
May
June
July
August
September
October
November
December
year
2012
2013
2014
2015
2016
Departure Date:
day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
month
January
February
March
April
May
June
July
August
September
October
November
December
year
2012
2013
2014
2015
2016
Comment:
Please confirm my reservation request by:
Telephone
Fax
E-Mail
B. Brüggemann Hotelbetriebe GmbH, GF Armin Sowa, Waldstr. 38 A, 30163 Hannover,
Tel.: +49-(0)38293-859-0, Fax.: +49-(0)38293-859-59
UST-Nr. 25/210/10779, HR-Nr. 54462