Convent and Hotel Registration

Convent and Hotel Registration OSMTH Spring Meeting

Mechelen, Belgium, April, 28 – May 1, 2011

Last Name: Country: First Name: Grand Priory: Military Rank or Title: Templar Rank: Address: Templar Position: E-Mail address: Home Phone: 00+1- Cell Phone: 00+1- Spouse or Guest: Special Needs:

Hotel (do not contact the hotel directly): the Grand Priory of Belgium will make your reservation and provide you the confirmation number. Date of arrival: 04/___/2011 Date of departure: 05/___/2011 Number of nights:  Luxury Room (single) at 78 Euro/night, breakfast included: ____ nights  Luxury Room (double) at 94 Euro/night / room, breakfast for two persons included: ____ nights

Meals and Conferences – 195 Euro (all prices include VAT and services) Thursday, April 28: Dinner (40 Euro) Friday, April 29: Day seminar with sandwich buffet (25 Euro) and Dinner (45 Euro) Saturday, April 30: Day seminar with sandwich buffet (25 Euro) and Reception and Banquet (60 Euro)

REGISTRATION FEE at 50 Euro (to be paid ASAP): __ through bank transfer to the account of “Priorij van België VZW” IBAN: BE34 6511 4850 5790 BIC: KEYTBEBB __ through PayPal to [email protected]

I (we) will arrive __ by plane and wish to be picked up at Brussels airport at ___:___ (a.m. / p.m.) __ by train and wish to be picked up at the railway station of Mechelen at ___:___ (a.m. / p.m.) __ by own car

PLEASE E-MAIL COMPLETED FORM TO: [email protected]

OR MAIL COMPLETED FORM TO: Chev. Leo Thys, GOTJ Vlinderweg 19 BE – 2360 Oud-Turnhout Belgium