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Please use this form to submit your personal
data to us when making a reservation.
Print out and fax to: + 41 1 201 5045
[home] [contact] [inquiry
form]
| Last Name: | Current Address: | |
| First Name: | ||
| Phone Work: | City: | |
| Phone Home: | State/Province: | |
| E-mail: | Postal Code: | |
| Country: | ||
| Civil Status: | Address for Security Deposit Refund: | |
| Date of Birth: | (If different from above): | |
| Nationality: | ||
| Name of Partner: | ||
| Date of Birth: | ||
| For Non-Swiss Citizens only: | Landlord Reference: | |
| Passport #: | Name: | |
| Country: | Phone: | |
| Address: | ||
| Bank Name: | ||
| Account #: | Comments: | |
| Bank Phone: | ||
| Bank Address: | ||
| Employer Name: | Occupation: | |
| Employer Address: | Annual Income: | |
| Date of Employment: | ||
| Supervisor Name: | Supervisor Phone: |
The information on this application is true and correct to the best of my knowledge under penalty of perjury and prosecution for false personation. I hereby authorize Haus zum Schwertgut to verify the above information and to obtain a consumer and/or investigative credit report. I understand that the fee for verifying this application is not a deposit or rent and will not be applied to rent or refund even if this application is declined.
Date & Applicant's Signature:
Haus zum Schwertgut - Tel: +41 1 201 5055 - manager@schwertgut.ch