ORDER FORM “GIFT VOUCHER”

We are able to offer you gift vouchers according to following conditions:

Personalized coupon Le Château du Mylord
(all-in : aperitif, wines, waters and coffee included):

• Based on the menu “Jeunes Gastronomes” – “Young Gourmet”:
€ 75,00/pers. – € 150,00/2 pers. all-in
(only valid on Wednesday evening, for youngsters till the age of 28)
• Based on the menu “Confiance”:
€ 130,00/pers. – € 260,00/2 pers. all-in
• Based on the menu “Season Degustation”:
€ 160,00/pers. – € 320,00/2 pers. all-in
• Based on the menu “Gastronomical Degustation”:
€ 205,00/pers. – € 410,00/2 pers. all-in
• Based on the menu “Prestige, Tradition & Qualité”:
€ 250,00/pers. – € 500,00/2 pers. all-in
• Ticket according to your budget and deductible from the bill.

You can order the voucher (one year valid after the date of purchase) by giving us a call on 068 54 26 02 – by fax 068 54 29 33 – by e-mail: info@mylord.be , or you can order by filling in the form bellow.

Having to encode and sending your order, you must have an automatic message confirming this.
Your purchase will be definitive and accepted after our confirmation by e-mail.

The voucher(s) will be send to you with the bill by postal mail. Payment methods are cheque, bank transfer or Visa-Eurocard/Mastercard.

BNP Paribas Fortis Bank: 285-0347794-78
IBAN: BE69 2850 3477 9478 – BIC: GEBABEBB

My order will be as following:

* Required information

Number

Choice gift voucher (all-in)

Pers.

Price/pc

Total

Voucher menu “Young Gourmet” € 75.00 all-in
0.00
Voucher menu “Confiance” € 130.00 all-in
0.00
Voucher menu “Season Degustation” € 160.00 all-in
0.00
Voucher menu “Gastronomical Degustation” € 205.00 all-in
0.00
Voucher menu “Prestige, Tradition & Qualité” € 250.00 all-in
0.00
Personalized coupon (deductible from the bill) for the amount of:
0.00

TOTAL OF THE ORDER:

0.00

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