Allotment „EBN Training “ 13.04.2015 - 15.04.2015 Rooms have been blocked until 30.03.2015 Please forward your booking to Motel One Brussels faxnumber: +32 2 20961-11 or by e-mail to [email protected] I would like to book a room in the Motel One Brussels, Rue Royale/Koningsstraat 120, 1000 Bruxelles/Brussel Company/Address: _________________________________________________ _________________________________________________ Telephone: _________________________________________________ Fax Number/E-Mail: _________________________________________________ Guest name(s): _________________________________________________ Arrival: ___________________ Departure: __________________ Number of single rooms ________ at __88.50__ € per room and night including breakfast + free wifi (excluding city tax 4.50 € per room per night) O Mastercard/Eurocard Credit Card Number: O Visa O American Express O Diners Club _____________________________ valid until: ___ / ___ Your room will only be held until 6 pm on day of arrival. If you wish to guarantee your room for arrival later than 6 pm, please send this confirmation form back, either by fax or email, signed, with your credit card details including expiry date. Please Note: Your credit card will not be charged prior to your arrival! The room is available from 3 pm on day of arrival until 12 am on day of departure. The amount is payable on arrival. Cancellation is free of charge until 6.00 pm prior to arrival. Late cancellation or No Show will be charged with 90% of the first night, excluding breakfast, unless the room can be resold. Motel One terms and conditions apply. For further information please see http://www.motel-one.com/en/tc/. _________________________________ date, signature, stamp Your reservation will only be guaranteed with this confirmation and confirmed by Motel One Brussels Your reservation number: _____________________ date, signature, hotel stamp