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Reservation Company
Reservation for companies
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Company
*
Bard
B&B Luna
Connect Group
Fette Compacting
De Lijn
Imperial Tobacco
Nipro
Name
*
First
Last
E-mail
*
Pick Up Date
*
Date Format: DD slash MM slash YYYY
Time
*
:
HH
MM
From
*
Antwerp Airport
Brussels Airport
Charleroi Airport
Brussels Midi Station
Mechelen Station
Nipro HQ
Imep
Hotel
From which Hotel / Address?
*
What's the flight number?
*
What's the train number?
*
To
*
Antwerp Airport
Brussels Airport
Charleroi Airport
Brussels Midi Station
Mechelen Station
Nipro HQ
Imep
Hotel
Which Hotel / Address?
Payment
*
Bancontact / Cash / Visa
Invoice
Company
*
Nipro
Invoice Department
Nipro Medical Europe NV
Nipro Medical Europe NV – CC Africa
Nipro Medical Europe NV – CC Erika Naito
Nipro Europe NV Italy (Milano) Branch
Nipro Medical UK Ltd
Nipro Europe NV Spain Branch
Phone
*
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