All fields marked with an asterix (*) need to be filled in!

Your name: *

And / or name of the club:

What would you call your event (e.g "Oldie Disco" / "Après Ski Party" .... etc):

What kind of music would you like to hear (e.g. "70er-90er" / "Ballermann" .... etc):

Who is the organizer: Privat Club Different *

Where should the event happen?

Town: *

Street and number:

Or, location where the event is supposed to take place (e.g. a hall / a ballroom/ a pub .... etc):

Date for the event: *

How can we contact you? E-Mail home telephone portable SMS

In case of "home telephone" we need the home telephone number plus prefix:

In case of "e-mail" we need your e-mail address:

In case of "portable" or "SMS" we need your portable phone number plus prefix:

This from is not binding, it is just e more detailed request for your event.

Thanks for your interest, we will contact you as soon as possible.