Reservation Form

First name, last name:

E-mail:

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Program:

Cardiac rehabilitation after CABG, valve surgery (2-weeks)Cardiac rehabilitation after CABG, valve surgery (3-weeks)Cardiac rehabilitation after heart attack, stent placement, with stable angina or chronic heart failure (2-weeks)Cardiac rehabilitation after heart attack, stent placement, with stable angina or chronic heart failure (3-weeks)Cardiac check-up OptimunCardiac check-up ExpressCardiac check-up EliteI need help with my choice

Accommodation choice:

Single RoomJunior SuiteTwo-room Double SuiteThree-room Double Suite (60 sqm)Three-room Double Suite (104 sqm)President Suite (250 sqm)I need help with my choiceWithout accommodation

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