IPHA 25th Annual Conference

May 19-22, 2022
Begijnhof Congress Hotel, Leuven – Belgium

The price for 3 nights in above hotel, conference, lunches/dinners and social arrangements are:

Delegate Euros 1150,00
Delegate and Partner Euros 1450,00

Please fill in the form for each delegate or delegate with partner.

Personal data:

Name*

Surname*

Company*

Partner Name

Email*

Phone

Single Rooms

Double Rooms

We wish to use the shuttle bus from Brussel Airport to the hotel on 19/05 at

11:00

15:00

We wish to use the shuttle bus from the hotel to Brussels Airport on 22/05 at

07:30

12:00

Special dietary requirements

Comments

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