Family Room Booking Form
By completing this form you are CONFIRMING A RESERVATION REQUEST FOR A FAMILY ROOM at the Leopold Hotel Brussels EU
PLEASE COMPLETE ALL COMPULSORY SECTIONS

You need to select number of nights and guests

PLEASE CLICK SUBMIT AT THE BOTTOM

Email address *
THE PACKAGE : 2 x night's accommodation for 2 x adults and up to 2 x 12 year old children in ONE ROOM, 2 x full buffet breakfasts
Children MUST be under 12 at the time of their stay and may have to share a double bed. Proof of age is required
Family rooms consist of 1 double or 2 twin beds with a further 1 or 2 beds for the children and ensuite bathroom
Your Name & Family Name *
Your answer
Your Address (street/town/postcode/country) *
Your answer
Your Passport or ID card number *
Your answer
Your Credit Card number (in the form xxxx xxxx xxxx xxxx) is require to guarantee the room *
Your answer
Your Credit Card expiry (in the form xx/xx) *
Your answer
Your Credit Card cvc (in the form xxx) *
Your answer
Room Type & Prices PER ROOM *
Arrival Dates Available *
Specify arrival date request in 2019
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CONFIRMATION - we will confirm your reservation by return with a pro forma invoice. Your full payment will be due on arrival. In case of no show or late cancellation we will charge the full price of your room to your credit card
I agree that you deduct the full amount of my stay in case of no show/late cancellation *
Required
Our Privacy Statement *
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