Contact

Title*

1. Mr
2. Ms

Family name*

First name*

Email*

Telephone

Street, number, PO box if applicable

Postal code

Place

Country

Date of birth (dd/mm/yyyy)*

MOBIB card number (19 digits without spaces or characters)

You are contacting us as:*

1. Regular customer (season ticket user)
2. Occasional customer (no season ticket)
3. I am interested / futur customer / visitor
4. Third party (road user, professional, etc)
5. Local resident (projects, works, nuisance, etc)

Remember my data on this computer for a next visit

Accept the STIB-MIVB legal notice and the privacy policy in order to continue. I accept the STIB-MIVB legal notice and privacy policy*