For Security reasons please inform us which Jewish community or synagogue you attend:
Triple: Euro 990 Junior suite: Euro 2.150 (single use) Junior suite: Euro 1.450 (per person on double occupancy)
Sharing room with:
Additional nights
Credit card number:
Valid thru:
With my signature I authorize to debit my creditcard and agree to the terms & conditions related (without your signature this application is not valid).
Signature:___________________________