restaurant Tanuki | gift card

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 *

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 *

Gift card

Please fill out the data of your gift card

Amount *

Remark

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