Repayment-Application

We kindly ask you to fill out the following form. Our accounting will try to settle your request as soon as possible. All fields marked with (*) are mandatory fields. All additional fields marked with (**) are mandatory fields for bank transfers to NON-EU-countries. Notes: all bank-charges in our favour. Transfers to NON-EU-countries can cause substantial costs.
Salutation
First name
Last name*
E-Mail*
Booking number*
Customer ID
Amount*
Bank name*
Account holder*
IBAN*
BIC/Swift*
Bank adresse**
Account number**
Bank code number**
Your message
Please put the 6-digit code into the right field.

    Navigation

    Mein Merkzettel

    Passwort vergessen

    Sie erhalten ihr neues Passwort in Kürze per Email.
    Agentur-Menü
    Agentur-Nr.
    Agentur
    Inkasso-Art
    logout