Contact Where to find us EORTC AISBL / IVZW Avenue Emmanuel Mounier 83/11 1200 Brussels Belgium By Car Take the Brussels Ring Road, follow the signs for “Kraainem”, then “UCL St Luc + “, then “UCL Mounier” By Metro Line 1, direction Stockel, get off at “Kraainem” Go through the Mounier car park and reach the Mounier Avenue. www.stib.be By Train Get off at Brussels “Central Station” and take the underground. If train doesn’t stop at “Central Station” but at South Station or North Station, take any train to Central Station and take the underground. www.sncb.be By Plane Take a taxi from the airport (10 minutes) www.brusselsairport.be Contact us EORTC AISBL / IVZW +32 2 774 16 11 We are available from Monday to Friday from 8:30 am until 5 pm EORTC AISBL / IVZW +32 2 772 35 45 Personal Information Title* Mr.Ms.Mrs. Firstname* Lastname* Email* Are you... - None -Patient/Patient’s relativeClinical investigator/doctorOther City* Country* ---AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArctic OceanArubaAshmore and Cartier IslandsAtlantic OceanAustraliaAustriaAzerbaijanBahamasBahrainBaker IslandBangladeshBarbadosBassas da IndiaBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandClipperton IslandCocos IslandsColombiaComorosCook IslandsCoral Sea IslandsCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDemocratic Republic of the CongoDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaEuropa IslandFalkland Islands (Islas Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGaza StripGeorgiaGermanyGhanaGibraltarGlorioso IslandsGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHowland IslandHungaryIcelandIndiaIndian OceanIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJan MayenJapanJarvis IslandJerseyJohnston AtollJordanJuan de Nova IslandKazakhstanKenyaKingman ReefKiribatiKerguelen ArchipelagoKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMidway IslandsMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNavassa IslandNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorth SeaNorthern Mariana IslandsNorwayOmanPacific OceanPakistanPalauPalmyra AtollPanamaPapua New GuineaParacel IslandsParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunionRepublic of the CongoRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSpainSpratly IslandsSri LankaSudanSurinameSvalbardSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTromelin IslandTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUSAUruguayUzbekistanVanuatuVenezuelaViet NamVirgin IslandsWake IslandWallis and FutunaWest BankWestern SaharaYemenYugoslaviaZambiaZimbabwe Subject Related to* General Clinical Trials Events Fellowship Membership Partnership Patients Quality of life Research Groups Message Write your message here *Compulsary fields Add files ADD FILE (max 10Mo) Where to stay Center of Brussels downtown Astrid Hotel Place du Samedi, 11, B-1000 Brussels Phone: +32 2 219 31 19 Fax: +32 2 219 31 70 Location: Metro St Catherine Atlas Hotel Rue du Vieux Marché aux Grains, 30, B-1000 Brussels Phone: +32 2 502 60 06 Fax: +32 2 502 69 35 Location: Metro St Catherine Aris Centre Rue du Marché aux Herbes, 78-80, B-1000 Brussels Phone: +32 2 514 43 00 Fax: +32 2 514 01 19 Location: Metro Bourse or Gare Centrale Hôtel du Congrès Rue du Congrès, 42, B-1000 Brussels Phone: +32 2 217 18 90 Fax: +32 2 217 18 97 Location: Metro Gare Centrale Saint Nicolas Hotel Rue du Marché aux Poulet, 32, B- 1000 Brussels Phone: +32 2 219 04 40 Fax: +32 2 219 17 21 Location: Metro De Brouckère or Bourse The Hotel. Brussels Boulevard de Waterloo, 38, B-1000 Brussels Phone: +32 2 504 11 11 Fax: +32 2 504 21 11 Location: Metro Porte de Namur or Louise Center of Brussels uptown Alma Hotel Rue des Eperonniers, 42-44, B-1000 Brussels Phone: +32 2 202 28 28 Fax: +32 2 502 28 29 Location: Metro Gare Centrale Aqua Hotel Rue de Stassart, 43, B-1050 Brussels Phone: +32 2 213 01 01 Fax: +32 2 213 01 02 Location: Metro Porte de Namur or Louise Argus Hotel Rue du Capitaine Crespel, 3, B-1050 Brussels Phone: +32 2 514 07 70 Fax: +32 2 514 12 22 Location: Metro Porte de Namur or Louise Hotel Manos Stephanie Chaussée de Charleroi, 28, B-1060 Brussels Phone: +32 2 539 02 50 Fax: +32 2 537 57 29 Location: Metro Louise EORTC HQ area Gresham Belson Hotel Avenue des Anciens Combattants, 1, B-1040 Brussels Phone: +32 2 708 31 00 Fax: +32 2 708 31 66 Tangla Hotel Brussels Avenue E. Mounier 5 , Woluwé St Lambert, B-1200 Brussels Phone: +32 2 345 67 89 Location: 600m from the EORTC Headquarters Ramada Brussels Woluwe Avenue des Pleiades 67-69 Pleiadenlaan, B-1200 Brussels Phone: +32 2 775 31 80 Fax: +32 2 775 31 89 Location: Station “Capricorne/Steenbok”, 10 minutes by bus (bus 79) to “Auditoires – UCL”