Date reservation / Registration
 
Mr Mrs
First name*
Surname*
Telephone*
E-Mail*
Nr. pers.*
Date/Time*

 

Would you like to receive a copy of this message?
yes
 no
 

Date valid after recall

* marked fields please completely fill out. - (your data are kept confidential and passed on by no third.)

 

 

 

  Ákos

 0676 / 619 32 34

 E - mail

salsa2u@gmx.net