Gift voucher | ReActive Therapy | Private Physiotherapy

Gift for

Info about donee. If you can, please, fill in the name and contacts for easier communication with arranging therapy later on.

Gift forFirst and last name

E-mailDonee e-mail

PhoneDonee phone

Finding the cause of problems

Input diagnostics300 CZK will be added to the price of the first therapy

Number of therapies *Therapy price is CZK 900 for 60 minutes

Validity starts *

The voucher is valid for 6 months

Dedication

I can write a personal note according to your requirements directly on the voucher.

What can I write as dedication?If you want to write a dedication yourself later, leave this field blank

Delivery

The gift voucher is available for download for printing after submitting the order and becomes active after payment is done.

I will print myselfPick up in person (practice at Kfely)Send by post office

Address

Fill in the address to which you wish to deliver the voucher. In case the delivery will be direct to the recipient, I can write you a dedication on the voucher, which you can insert above

Full name

Address

City

ZIP Code

Payment

I will pay by *BankCashBank account 1500928053/0800. You can only pay in cash when pick up

I need an invoice *NoYesI can send the invoice by email. I can write the receipt when paying cash

Total to pay

CZK

Contact info

This info is mandatory

Billing info

Fill in the requirements for sending an invoice by email. When paying in cash, a receipt can be issued

Full name *

Your e-mail *

Your phone

Company name

Business ID

Billing address

Same as delivery address

Billing address

City

ZIP

GDPR *By checking the box, you agree to the processing of personal data. These are used only for the purpose of ordering a gift voucher and communication. Here you can view the privacy policy and terms and conditions.