Reservation request: Agatas

Using the following form you can submit a request for a reservation to the restaurant or hotel.

Check email name

Given name

Family name

Email address

Repeat email address

Telephone

Address (Street & No., ZIP & City)

	Mo	Tu	We	Th	Fr	Sa	So	Holiday
Lunch
Dinner

FT = holiday

Date

Time

Number of guests

Your message

Derag Livinghotel
Kirchfeldstr. 59
40217 Düsseldorf

Chef: Marcel Förster