Reservation All about you: First, Last Name* Street Address: City, State, Zip Code: Country: Mobile, Home Phone: Email* Member of PTPI YesNoPTPI chapter Dietary restrictions: Physical challenges: Payment Options Please choose one of the two payment options listed below. I wish to pay by credit card online (Credit Card via PayPal) I wish to pay by bank transfer Bank:ING – Mechelsesteenweg 151, 1970, Wezembeek-Oppem, Belgium IBAN:BE24 3631 0760 1938 BIC:BBRUBEBB Homestay Fee – shared with PTPI Europe and Hosting Chapter: 60 euro The total amount must be settled one week prior to your arrival