Reservation

Title:	Mr. Mrs.
Name:
Company:
Street, No.:
City:
Country:
E-Mail:
Phone:
Fax:


Arrival:
Departure:

I would like to reserve the following room(s):
Single room:
Double room:

Number of persons:

Please confirm my reservation by:
	E-Mail
	Post
	Fax

Comment field for additional requests, special offers or questions:


Reservation or Form

Vichter Landhaus ▪ Münsterau 140 ▪ 52224 Stolberg ▪ Tel.: 02402/98910 ▪ Fax.: 02402/989192 ▪ Email: info@vichter-landhaus.de