Offer for kids in Bochum porposal

Name *

Offer description

Offer equipment

Street

Code/ZIP * District * Please choose… Altenbochum Bergen Dahlhausen Eppendorf Gerthe Grumme Günnigfeld Hamme Harpen Hiltrop Hofstede Höntrop Hordel Laer Langendreer Leithe Linden Mitte Querenburg Riemke Sevinghausen Stiepel Wattenscheid Weitmar Werne Westenfeld Wiemelhausen

To determine the coordinates (latitude and longitude), simply click on the desired location in the map. You can also use "drag & drop" to move.

Latitude *

Longitude *

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Form of address Mrs Mr Mx

Surname *

First name

Email *

Phone

Antispam * Ten plus 5

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