By filling out the form below, you will have completed your purchase. Please transfer the amount of your purchase to account number BE32 7370 5787 5802. When we receive the amount, we will send you the gift certificate. Thanks in advance!

Gift certificate:

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From (Name + first name):

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To (Name + first name):

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Street + n° (shipping address):

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Zip code:

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City:

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Phone:

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E-mail:

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Personal message:

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I would like to pick up the gift certificate in the store in:

Bruges

Brussels

Knokke

Please send the gift certificate to the address above

Submit