restaurant Tanuki | gift card

We'll close our restaurant from 19/October, according to Belgium government decision.
We update our future plan on FaceBook / Web-site page.
During these period, it will be difficult to answer mails and telephone calls.
Thank you for your understanding,and hopefully we can see you again soon.

Would you like to surprise your friends or family with an unforgettable experience at Restaurant Tanuki?
We would like to present to you our gift cards .
Please fill out this webform and pay the desired amount on
our bank account BE47780593598280 / Bic nr. GKCCBEBB
After reception of your payment, we will send the gift card to you by e-mail.
Please mention “gift voucher + the name you filled out on the webform” in the remark box of your transfer.

Your data

Please fill out your data (as a sponsor):

Title

Name *

Address

Postcode

City

Telephone *

E-mailaddress *

Your emailaddress as a sponsor (a confirmation email of your order will be sent to this address)

Recipient

Please fill out the data of the recipient of the gift card:

Title

Name *

Address

Postcode

City

Gift card

Please fill out the data of your gift card

Amount *

Remark

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