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dinnerhopping » Anmeldung

Anmeldung


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Die fett markierten Felder müssen ausgefüllt werden
The bold marked fields have to be filled out.

Geschlecht:
gender
 Frau female  Mann male
Vorname:
first name
Name:
last name
Alter:
age
Nationalität:
nationality
eMail:
Strasse, Hausnummer:
street, street number
PLZ:
postal code
Ort:
city
Handy- oder Telefonnummer*:
phone number*
Hast du Platz für 6 Personen?
do you have enough space for 6 persons?
Ja yes Nein no
Bist du Vegetarier?
are you vegetarian?
Ja yes Nein no
Möchtest du den dinnerhopping Newsletter?
do you want the dinnerhopping newsletter?
Ja yes Nein no
Woher kennst du das dinnerhopping?
where do you know the dinnerhopping from?
Anmerkungen:
comments
Bitte gib den abgebildeten Verifizierungs-Code ein
verification code
verification image, type it in the box

* Bitte gib nach Möglichkeit die Nummer deines Mobiltelefons an.
* please give us the number of your mobile if possible.