Voucher-
order

First Name *

Last Name *

Telephone

Street/Number *

Postcode/Town *

E-Mail *

Number of guests *

6 course evening menu 189 € per person

Wine accompaniment 6 courses 125 € per person

Without Wine accompaniment

Aperitif glass of champagne 23,50 per person

Without Aperitiv

Voucher

Voucher amount

Shipping method (Mail, E-Mail or pick-up in the restaurant) *

Special wishes

Different billing address

Name on creditcard (only Mastercard and Visacard accepted) *

Number of creditcard *

Validity of creditcard *

Privacy policy applies *

1 + 3 = ?Please prove that you are human by solving the equation *