Emeriti 64

EMERITI 64 MEETING BRUSSELS, SEPTEMBER 23-25, 2026

REGISTRATION FORM

Emeriti form 2

General information

First Name

SurName

Mobile phone

Number of participants:

One participant: single room

Two participants: double room – king-size bed

Two participants: double room – twin beds

If two participants, name of partner:

Optional programs

Please indicate your choice:

We are interested to attend the full official programme from Wednesday September 23 lunch until Friday September 25 after lunch and would reserve two hotel nights, i.e. Wednesday September 23 and Thursday September 24.

We will attend only part of the official programme.

Please specify and indicate which nights you would stay at the hotel:

We are interested to take the optional day tour to

Bruges

Bruges on Tuesday September 22

Radio Field

and would reserve two additional hotel nights, i.e. Monday September 21 and Tuesday September 22.

but would take care of my own hotel accommodation for the additional nights.

Antwerp

Antwerp on Saturday September 26

Radio Field

and would reserve two additional hotel nights, i.e. Friday September 25 and Saturday September 26

but would take care of my own hotel accommodation for the additional nights.

Waterloo

the Waterloo Battlefields/Museum trip on Friday afternoon

Radio Field

and would reserve one additional hotel night on Friday September 25

but would take care of my own hotel accommodation for the additional night.

We would not participate in the optional tours, but would still like to reserve additional nights in the hotel:

Monday, September 21

Tuesday, September 22

Friday, September 25

Saturday, September 26

Sunday, September 27

Other nights.

Please specify:

Mobility considerations

Participant(s) with limited mobility:

None

One

Two

How likely is it you will confirm your participation in the Brussels Emeriti gathering:

100% sure

Quite sure

Don’t know yet

Other remarks or desiderata you want us to be mindful of:

Please pay the following deposit
by January 15, 2026
1 participant : 250€
2 participants : 500€
to MC Communication & Events
IBAN: BE53 3630 1203 9053
BIC / SWIFT : BBRUBEBB
Communication: Deposit Emeriti 64 Event

The deposit is
fully refundable if cancellation occurs before May 1^st, 2026.
Contact information:
Michael Chiche - mi*****@***********ta.be