Your name (mandatory)

Your surname (mandatory)

Your address (mandatory)

Your city (mandatory)

Your zipcodel (mandatory)

Your city (mandatory)

Your phone number (mandatory)

Your mobile (mandatory)

Your email (mandatory)

Bank account and address for repayment of the rental guarantee

IBAN

BIC

Number of weeks(mandatory)

---1 semaines2 semaines3 semaines4 semaines

Start date of stay

End date of stay

List of occupants

1
2
3
4
5
6
7
8

Remarks

I am over 18 and i'm allowed to make this reservation for the occupants(mandatory)

I have read and agree to the rentals terms and conditions(mandatory)

Bank account and address

IBAN n° : BE 93 001233158067 SWIFT : GEBABEBB Adresse de la banque : Fortis bank Kraainem Avenue des Anciens combatants, 11 1950 Kraainem BELGIUM Adresse client : Mr and Mrs J-L Compère 15, avenue des Hirondelles 1950 Kraainem BELGIUM