RESERVATION REQUEST ref : Block booking as from 15 till 20 September 2007 European Nuclear Society Please complete the requested information and send it ASAP to the hotel of your choice. (latest reservation date : 17 AUGUST 2007 ! ) Name : ……………………………………. Company : …………………………………… Address : ……………………………………. Telephone number : …………………………… would like to make the following reservation : Check-in date : …………………. Fax number : …………………………………. Check-out date : ………..…. Smoker … Non Smoker … Rates HOTEL NAME … Sofitel Brussels Europe Place Jourdan 1, B-1040 Brussels Tel. +32 (0)2-235 51 00 - Fax +32 (0)2- 235 51 01 Email h5282-re@accor.com ………X single room / 155,00 € on 15th September 2007 ………X double room / 170,00 € on 15th September 2007 ………X single room / 220,00 € per night as from 16th till 20th September 2007 ………X double room / 245,00 € per night as from 16th till 20th September 2007 Supplement buffet breakfast: included … Sofitel Brussels Toison d’Or 40 avenue de la Toison d’Or, B-1050 Brussels Tel. +32 (0)2-514 22 00 - Fax +32 (0)2- 514 57 44 Email h1071-re@accor.com ………X single room / 115,00 € per night as from 15th till 17th September 2007 ………X double room / 125,00 € per night as from 15th till 17th September 2007 ………X single room / 205,00 € per night as from 17th till 20th September 2007 ………X double room / 215,00 € per night as from 17th till 20th September 2007 Supplement buffet breakfast: included … Ibis Brussels off Grand’Place Rue du Marché aux Herbes 100, B- 1000 Brussels Tel. +32 (0)2-514 40 40 - Fax +32 (0)2-514 50 67 Email h1046-re@accor.com ………X single room / 119,00 € per night as from 15th till 17th September 2007 ………X double room / 129,00 € per night as from 15th till 17th September 2007 ………X single room / 145,00 € per night as from 17th till 20th September 2007 ………X double room / 155,00 € per night as from 17th till 20th September 2007 Supplement buffet breakfast: included … Ibis Brussels Centre Ste Catherine rue Joseph Plateaustraat 2, B- 1000 Brussels Tel. +32 (0)2-513 76 20 - Fax +32 (0)2-514 22 14 Email h1454-re@accor.com No available bedrooms on 15th September 2007 ………X single room / 79,00 € per night on 16th September 2007 ………X double room / 89,00 € per night on 16th September 2007 ………X single room / 109,00 € per night on 17th September 2007 ………X double room / 119,00 € per night on 17th September 2007 ………X single room / 135,00 € per night as from 17th till 20th September 2007 ………X double room / 145,00 € per night as from 17th till 20th September 2007 Supplement buffet breakfast: included … Ibis Brussels Centre Gare du Midi 2-20 rue d’Angleterre, B-1060 Brussels Tel +32 (0)2-541 44 44 - Fax +32 (0)2-541 44 45 Email h3152-re@accor.com ………X single room / 89,00 € per night as from 15th till 17th September 2007 ………X double room / 107,00 € per night as from 15th till 17th September 2007 ………X single room / 109,00 € per night on 17th September 2007 ………X double room / 127,00 € per night on 17th September 2007 ………X single room / 135,00 € per night as from 18th till 20th September 2007 ………X double room / 145,00 € per night as from 18th till 20th September 2007 Supplement buffet breakfast: included Direct payment at the hotel upon departure. Cancellation is possible without costs till 48 hours before arrival per email or per fax. No cancellation per phone. In order to confirm your reservation, we kindly ask you to give us your credit card information. (This will only be used to pay the room rate, in case you didn’t cancel your reservation in time). Credit card : (ex. Visa, American Express, Diners…) ……………………………… Card number : ……………………………………. Name of the cardholder…. …………………………………. Date ……………… Expiration date (ex.. 03/08) ………… Signature…………………………………….