39th ISICEMInternational Symposium on Intensive Care and Emergency MedicineSQUARE - BRUSSELS MEETING CENTER - MARCH 19-22, 2019 Hotels list Hotels map Conditions Local transport Companies only Metro map Restaurants & Useful Links Booking PERSONAL INFORMATION Gender Mr. Miss Mrs. Surname / Family name First name Company Details Company / Institution Address Post Code Town Country Phone number Fax Email Billing address tick if same as above Name Address Post Code Town Country VAT Phone number Fax Email HOTEL BOOKING INFORMATION HotelNH Brussels Louise**** Arrival date Departure date Room type / occupancy Single Double occupancy AmountIncluding breakfast and city taxes0,00 € ADDITIONAL INFO Type room Non smoking roomSmoking room if possible Late arrival(rooms are kept secured even if case of late arrival) NoYes ACCOMPANYING PERSON SHARING THE SAME ROOM Family name First name PAYMENT METHODBy bank transfer - Please email me the invoice. The amount will be wired on due time By visa or Master card - Please email me the invoice and a payment’s secured web link from EuropabankBy American Express - Please charge my credit card and email me the invoice and hotel voucher Secured payment information Cardholder's name Credit card number Expiry date Card Verifcation Code Bank information Visa/Master information The hotel voucher to present at time of check-in will be emailed upon confirmation of payment.Once you receive the secured web link from Europabank, it is valid 48 hours. COMMENTS