Gift coupon

For gift cards can be paid by bank transfer:

VšĮ ,,Tulpės" sanatorija
Company code 152821323
VAT number LT528213219
P./a. LT857181600004700459
AB Šiaulių bankas, Birštono KAS
Bank code 71816

Payer's first name last name: *
Address to send a gift voucher, and the name of the person or e-mail *
Gift Coupon (services) the recipient's name: *
Payer's contact telephone: *
Payer e-mail:
Gift vouchers No.: *
Payment amount: *
Outsourced services: *	If you buy a certain amount of money please give it