(
*
) obligatory field
Name :
*
First-Name :
*
Address :
*
Number :
*
Box :
Zip-Code :
*
City :
*
Country :
*
Phone :
*
Ex: 003287772353
Fax :
Ex: 003287772353
E-mail :
Are you an arcopar co-operator ?
Yes
N° arco
No
Are you a member of CSC Metal ?
Yes
national numb
No
You wish to receive documentation in :
French
Dutch
Arrival Date :
dd/mm/yyyy
For :
Breakfast
Dinner
Supper
Night
Departure Date :
dd/mm/yyyy
For :
Breakfast
Dinner
Supper
Room or duplex :
Room
Duplex
Number of Rooms :
for 1 persons
for 2 persons
for 3 persons
for 4 persons
Meals :
Half Board
Full Board
Accomodation :
studios, apartments, bungalows
:
Appartment type 1
Appartment type 2
Appartment type 3
Studio type 1
Studio type 2
Bungalow
Meals :
breakfast in the restaurant
Dîner au restaurant
Souper au restaurant
List of participants including the demander :
Name
First-Name
Birth Date
(dd/mm/yy)
Relation to the demander:
Spaloumont, 5 • B-4900 Spa • Belgique • Tel. 087 77 23 53 • Fax 087 77 48 93 • E-mail: info@solcress.be
