Reservation - LSI Bochum

It is about...*

... a definite request. Please book the room if available.

... a request without obligation. Please just let me know if the room is available in the given period.

Date of arrival:*

Date of departure:*

I would also like to book a room on the following dates:

Single room in the category:

Number of single rooms:

Double room in the category:

Number of double rooms:

Personal Information

Salutation:

Title:

First name:*

Surname:*

Street / House number:*

Postcode:*

Town / City:*

Country:

Telephone:*

E-Mail:*

Date of birth:*

Nationalität:*

If required, please enter a different invoice recipient here:

I am booking for myself:

If you are not booking for yourself, please write the name(s) of the person(s) staying at LSI in the comments field.

Comments:

Are you interested in receiving information about LSI?

yes (by e-mail)

yes (by post)

no

Data protection*

I hereby grant the Landesspracheninstitut in der Ruhr-Universität Bochum permission to collect and use the data I have entered above in accordance with its data protection policy.

Please enter the solution to the graphic below into this field: