Surname:
The " Club Gourmet Belle Epoque" ( Belle Epoque's Gourmet Club) will start operating in January 1998 and plans to carry out several special events, including the issue of a quarterly magazine exclusive for its members which will explain little details about the restaurant construction, cooking tips, wine information, recipes, interviews, and all the special events. In short, we will inform our customers of how to become a member of this club, meanwhile, if you are interested in it, you can send us the following data and fill in the questionnaire, only if you wish so:
Fill in this questionnaire and you will receive a free issue of our magazine. Furthermore, if you have a meal at Belle Epoque, you will be offered a little present when showing us this paper.
Surname:
Name:
E-mail:
Addres:
P.Box
Población:
Pais:
Por favor, marque su edad:
Nos ha visitado con anterioridad:
Suele realizar comidas de negocios:
Por favor, indique como ha encontrado este web:
Si quiere preguntarnos alguna cosa o escribir algún comentario puede hacerlo a continuación y nos pondremos en contacto con usted:
Muchas gracias por enviar este formulario
