Booking request

Please fill in yor booking request details on this sheet.

All fields marked with an asterisk must be filled in.

Package	Candle light dinner
Description	Voucher for a four course candlelight dinner for one person in the Kothmühle Relax Resort with two glasses of corresponding wine.
Price	Four course candlelight dinner for one person € 38
Date	Please fill in your requested time of arrival.
People *
Zubuchbare Angebote	Rosenstrauß (€ 14.--) 1 Schmusekatze (€ 15.95) Birnensekt (€ 9.--)
Sum

Address *	Mr Mrs
Title
First name *
Family name *
Street *
Postcode *
Place *
Country *
E-mail *
Newsletter	Yes No I'd like to receive the Kothmühle Relax Resort Newsletter.
General Terms and Conditions *	By activating this control box you'll accept our General Terms and Conditions of Business.