Name *

E-mail adress *

Telephone No.:

Champagne & Bites Tasting for 1 (€ 42,50) Champagne & Bites Tasting for 2 (€ 85,00) Champagne & Bites Tasting for 3 (€ 127,50) Champagne & Bites Tasting for 4 (€ 170,00) Champagne & Bites Tasting for 5 (€ 212,50) Champagne & Bites Tasting for 6 (€ 255,00) Champagne & Bites Tasting for InterNations Members for 1 (€ 39,95) Champagne & Bites Tasting for InterNations Members for 2 (€ 79,90) Champagne & Bites Tasting for InterNations Members for 3 (€ 119,85) Champagne & Bites Tasting for InterNations Members for 4 (€ 159,80)

Bedrag *
€

Payment methode *
iDEAL Krediet-/ Debetkaart
Hierbij geef ik toestemming om het terugkerende bedrag periodiek van mijn rekening te incasseren.

Date *
01-11-2020 16:00 Hrs

Allergies or dietary wishes

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