BERLIN VIP SERVICE Hubert Wegmann Hindenburgdamm 20 a 12203 Berlin Germany

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Mail: office@berlinvipservice.com Phone: +4930 330 230 78 Fax: +4930 330 230 78 URL: http://www.berlinvipservice.com

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Mr. Mrs. Ms. Company
¯ First Name (or name of the company) ¯

¯ Last Name (or company contact) ¯

¯ Street, No. ¯

¯ City ¯

¯ Country ¯	¯ Post or Zip code ¯

¯ e-mail ¯

¯ Fax Number (please include country code) ¯

¯ Telephone Number (please include country code) ¯

¯ Please indicate the date(s) you wish reserve our service: ¯


Please indicate the type of transportation your group requires:
Limousine (1-4 persons) Mini Bus (up to 8 persons) Bus

¯ Please inform us of any questions, special needs or requests that you may have: ¯

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Date  /  Town	Signature (for fax and letter only)