Massage Print this page
Order your gift voucher
Call [+32] 475 350 133 or complete the form below and mail it to info@essens.be. As soon as we receive your order, we will send you an email to confirm, including the order transfer number for payment. The gift voucher will be sent by normal mail to you as soon as we have received your payment or you can come and collect it yourself at Essens.
   First name *
   Name *
   Address *
   Zip *
   City *
   Tel *
   Email *
   I want to receive an invoice:    yes    no
  If you want to receive an invoice, please complete the following information:
   Billing address  Same as above
   Other (please complete full address)
   Zip & city
   Herewith I order   Number
   gift vouchers at 25 €
   gift vouchers at 45 €
   gift vouchers at 55 €
   Message on gift voucher:
   I will collect the vouchers
   at Essens:
   Please send the vouchers:  to the same address as above
   to the following address
   Name & first name
   Zip & city
Message to Essens related to this order
  Mailing costs are charged.
  Fields with * are mandatory.
© 2005 Essens. All rights reserved | Assesteenweg 414 - 1741 Wambeek [Ternat] | Tel 0475 350 133 | info@essens.be | Sitemap | Credits