In order to ensure your stay is as pleasant and comfortable as possible
kindly complete and return this form prior to your arrival.


Please fill in 1 form per ‘room’



Booking information

Arrival date Departure date
Number of nights Confirmation number


Contact details

Guest 1 Guest 2
First name


In order to fulfill our administrative obligations, according to the Belgian law,
please add the following personal information

Passport nbr or ID nbr
Date of birth
Place of birth
Home Address
Post code
State (US)
Telephone – home
Telephone – office
Telephone – mobile
Is this reservation made as a suprise?
Have you stayed with us before?
Preferred bed configuration
Pillow preference


Food preference

Will you be celebrating a special occasion whilst with us?
Would you like to discuss extraordinary dining options?
How will you be travelling to Hotel Heritage ?
Please advise your expected time of arrival (24 hrs schedule)


Would you like to make reservations at Restaurant “Le Mystique”, where our Chef presents exquisite dishes?

Lunch – closed Dinner at
Lunch – closed Dinner at
Lunch – closed Dinner at


We request that you phone the Hotel approx. 1 hour before arrival so that we can anticipate your arrival – +32 (0)50 44 44 44


Special Interest & activities

Walking Food & Wine Museums
Shopping Golf Culture
Biking Michelin Gastronomy Exhibitions
Vespa trip Beers Other



After completing this form with your preferences, it will be sent to