Info: +49- 172 - 30 14 173       franco@pura-salsa.de
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Those fields marked * MUST be filled in for a complete registration.

The best ways for a safe and fast payment are payments via creditcard or via paypal. The payment with creditcard or paypal costs an extra fee of 5 € per booking.

After registration you will get a confirmation mail with payment instructions. (in between 24 hours)

 
 

Registration
Complete Name*:
City*:
Fon number*:
e-mail*:
Pass*:
Payment by:
Card number:  (16 numbers)
Expiration date: month       year