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Inquiry Form
Tuesday, 02. Mar 2021
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REQUEST // Bussiness
1. Your data
Name
Company
Street
Zip code and City
Phone
Fax
E-Mail
2. Event data
Date start
Date end
Time start
Time end
Type of event
Number of persons
Table order
Please select
Parliament
Theater style
U-shape
Block
Banquet
3. Order of event
Conference Flat Rate
1. day
Coffee
Lunch
Coffee
Dinner
From 2. day
Coffee
Lunch
Coffee
Dinner
Last day
Coffee
Lunch
Coffee
Dinner
Overnight stay
Please select
No overnight stay
With overnight stay
Billing
Please select
Billing to organizer
Participants are direct payer
Special requests
4. Tagungstechnik
Overhead projector
Screen
Flip chart
Pin board
Lectern
Presentation case
TV-Monitor
VHS video recorder
Video camera with tripod
Carousel slide projector
DVD-Player
CD-Player
Beamer
5. Reply per
Phone
Fax
E-Mail
Mail
I accept that my data are stored electronically.
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© Le Clervaux Boutique & Design Hotel
Grand-Rue 9 // L-9710 Clervaux
Grand Duchy of Luxembourg