Order form gift voucher - Camille Oostwegel ChâteauHotels & -Restaurants

Please complete the following form in full. Once we have received your request, we will send you the gift voucher and the invoice (within 3 working days within the Netherlands). Once the invoice has been paid, the gift voucher can be used in one of the Camille Oostwegel Château Hotels & Restaurants.

Title

Title* Mr. Ms. Mr. and Mrs.

Voorletters

Initial(s)*

Tussenvoegsel

Surname prefix(es)

Surname

Surname*

Company name

Address line 1

Address line 1*

Address line 2

Address line 2*

Toevoegingen

Address line 3

Zip code/Postcode

Zip code/Postcode*

Town/city/State/Province

Town/city/State/Province*

Country

Country*

Telephone number

E-mail address

Gift voucher

Gift voucher Amount,

namely €*

number*

Other, namely

Gift pack* Standard Gift pack (including information package)

Luxury Gift pack, extra charge €2,50 per voucher

Questions or remarks: