Reservation Form

REFERENCE NAME
REFERENCE BOOKING NUMBER
Block dates
Cut off date
O Mr O Mrs
: *IBO
: MB0000287580
: 23/02- 26/02/2017
: 26/01/2017
Last name: _____________________
First name :________________
Date of arrival:
Date of departure:
Please indicate reservation dates:
Standard Room NH Brussels City Centre hotel
- 23/02/2017
O Single
€ 120,00 per room, per night
O Double
€ 135,00 per room, per night
- 24/02/2017
O Single
€ 80,00 per room, per night
O Double
€ 95,00 per room, per night
- 25/02/2017
O Single
€ 80,00 per room, per night
O Double
€ 95,00 per room, per night
€ 6 city tax / night NOT included.
Breakfast is included.
These rates include services, VAT and are per night and per room.
CANCELLATION FREE OF CHARGE UNTIL 5 DAYS PRIOR TO ARRIVAL. AFTER THIS
TIME THE RESERVATION VALUE WILL BE CHARGED AT 100%
PAYMENT METHOD
O
Payment by Guest
We kindly ask you to guarantee the reservation by credit card in order to secure the room for
you in case of late arrival.
Guarantee by credit card:
O Visa
O Eurocard
O Mastercard
O American Express
O Diners Club
Credit Card holder:________________________________
Credit Card Nbr :_________________________________
Expiration Date :____/____
In case of no show the owner of the card authorizes the hotel to charge the credit card for the
total stay.
CONFIRMATION
Please mention your email address or fax number should you wish to receive a confirmation of
your reservation;
email: _____________________________________
fax number: ________________________________
Please return the reservation form to [email protected] The above rates are valid
th
until the 26 of January 2017. After the above dates the rooms will be released. And if guests
would like to add rooms after this date, it will be subject to availability and the same price can’t
be guaranteed anymore.