Firstly, some information about you and your company. How many

Thanks for your interest in purchasing Costa Gift Cards.
Please fill in the information below, and we will get back to you as soon as possible with a quote.
Firstly, some information about you and your company.
Company Name:
Contact Name:
Contact Phone Number:
Contact Email Address:
How many Gift Cards, and what Value would you be interested in
purchasing?
I’m not sure (please mark an X in the box)
Value
No. of Cards
x
x
x
x
x
Please choose a Currency (Please mark with an X in the relevant box)
Euro
(Valid in Republic of
Ireland Stores only)
GBP
(Valid in Northern
Ireland Stores Only)
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Would you rather e-Vouchers which you can email, or Electronic
Gift Cards which you can give in person or in the post? (Please mark with
an X in the relevant box)
e-Vouchers
Electronic
Gift Cards
Any other comments you’d like to add?
Mixture of
Both