11, rue Haut - Faing,
6840  OFFAING - NEUFCHÂTEAU  (B)

Tél.: +32 (0) 61 277071  -  Fax.: +32 (0) 61 271362

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ORDER  CHEQUE  GIFT

 

YOUR   INFORMATIONS 

 

Your Name   Your First Name
Address   Zipcode
City   Country
Phone   GSM
Fax   Email
 

YOUR  CHOICE  OF  GIFT

.
Persons (quantity)
Choice of package (Halboard on  weekend - 2 days minimum)
Address  forwarding
 

PAYEMENT 

 

I pay my order on the account

 360-1098763-50

IBAN: BE86 3601 0987 6350
BIC: BBRUBEBB

R E M A R K S  :

 

Sending this form does the complete acceptance of

our general terms of sale

Thank you for you request. After payement we will send the gift cheque as soon as possible.

 

                                            

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