Confirm visit

Fill in the form only after having contacted:

Léon Tombal
SENATE - Protocol, Reception and Communication Department
Place de la Nation 1
1009 Brussels
tel. 02/501.73.55
fax 02/501.74.14
[email protected]

Date to visit the Parliament:
Date		Preferred hour(s)
Person in charge of the group:
Name		E-mail
First Name		Fax
Street and nr		Tel.
Zipcode + City		Mobile phone on the day of the visit
Country
Group/association/school:
Name
Type of education
Street and nr
Zipcode + City
Description:
Members (min. 10 - max. 50)		People using wheelchair
Average age
Name of the MP who joins in the group (if any)