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Personal Registration - Reservation
 
 Yes,
 I am interested in the ASLAN Therapies
 and wish to book as follows:


     first therapy /   repeated followup therapy
    for:      3 weeks      2 weeks
 
     the ASLAN Active Week
 
    where:   Olsberg    Bad Reichenhall    Bad Steben   
from
to
for myself:
male female
family name*
first name*
Street*
Postal zip code*
City*
Country*
Telephone*
E-Mail*
 
and the following person:
male female
family name
first name
when different from above:
Street
Postal zip code
City
Country
Telephone
 
Please confirm my reservation
Signature
*) obligatory fields
 
 
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ASLAN Holding International GmbH, Mühlenufer 4a, D - 59939 Olsberg - Germany
Tel: + 49 2962-97990, Fax: + 49 2962-979929, EMail: mail@aslan.info