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Application Form (Hotel & Restaurant)
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 Application Form (Hotel & Restaurant)
 
Please fill in this form and click on the SEND button to become a candidate for an affiliation to our Purchase Office. We thank you for your interest !

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Family Name
First Name
Male/Female
Business Title
Type of Business (Restaurant, Hotel, Hotel-restaurant or Other)
Name of your Restaurant, Hotel or Other
Number of Stars (hotel)
Number of rooms providing wc with bath or shower (hotel)
Number of seats (restaurant)
Street and Number
ZIP/Postal Code
Location
Country
Telephone
Fax
Email
Web Address
Additional Information
Verification Text: Please enter letters 2, 9 and 12 of the word 'verification'

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