Winzerhaus Urbar


Rheingoldstr. 8





D-55430 Urbar / Loreley





Phone:  from abroad 0049-6741 / 1366 or 0049-6741 / 93928


Fax:  from abroad 0049-6741 / 7508


E-mail:  info@loreleyvalley.com











I herewith ask for reservation of __________________________ incl. demi-pension and


 (number of single/double bed/ triple bed rooms)





Program, Euro _______________________________ per person in the time 





from __________ to  ___________ .


 (Day of arrival) - (Day of departure)











Sender:





First name, surname: ____________________________





Street/no.: _________________________________





Municipal code, place: ____________________





Telephone: _________________________








______________________________________


Date and signature