Layout Block - Block Reference - Baby Box

Last name / first name of child's legal representative *

Child’s first name *

Number and Street name *

Post code - City *

Phone *

Email *

Child’s date of birth * *

Day

Month

Year

* Offer valid only for children born within the last twelve months.

Select your nearest branch to pick up your Baby Box *

Are you a Raiffeisen customer? *

Yes

Leave this field blank