Please fill out this form with your details. Once it is received by The Langham Auckland, we will contact you for your payment details. If you have any problems with this form, please telephone (09) 300 2809 or email tlakl.vouchers@langhamhotels.com. The Langham Auckland does not take responsibility for online purchase forms that are not received.

(*) Required information

Purchaser's Contact Information

*Salutation	:	Mr Mrs Miss Ms Dr
*First Name	:
*Last Name	:
*E-mail Address	:
*Telephone	:	(Please include country and area code)

Gift Voucher Details

Gift Voucher "To"	:
Gift Voucher "From"	:
Short message (up to 10 words, optional)	:

Mailing Options

Mailing Options			Pick up from The Langham, 83 Symonds Street, Auckland central
			I will arrange my own courier
			Regular New Zealand Post
			Name   : Street Address   : City   : Post Code   : Country   :
The Langham, Auckland does not take any responsibility for the delivery of gift vouchers. If you wish to purchase multiple Gift Vouchers, please specify your requurements in the Comments box.

I would like to purchase a Gift Voucher with a special value

	NZ$50
	NZ$100
	NZ$150
	NZ$200
	Other
Please note: gift vouchers will be issued in $50 denominations and any unused amount will be forfeited

I would like to purchase a Gift Voucher for a specific experience

Accommodation Packages	:	-----Please select----- Five Star Fling (Classic Room) NZ$255 Five Star Fling (Executive Room) NZ$295 Five Star Fling (Langham Club Room) NZ$485 Five Star Eight Escape (Classic Room) NZ$379 Five Star Eight Escape (Executive Room) NZ$419 Five Star Barolo Escape (Classic Room) NZ$409 Five Star Barolo Escape (Executive Room) NZ$449 Five Star Indulgence (Langham Club Room) NZ$359
Dining	:	-----Please select----- Barolo NZ$50 Barolo NZ$100 Eight NZ$50 Eight NZ$100 Tiffin Afternoon Tea for Two NZ$79 Champagne Tiffin Afternoon Tea for Two NZ$129 SPE Bar & Restaurant NZ$50

Other Details

Comments

:

Payment Details

	Credit card – please fill out the Credit Card Authority Form
	Eftpos or cash – only if picking up your Gift Vouchers from The Langham Auckland
	I would like to receive future information on special offers and promotions at The Langham, Auckland.

*How did you hear about The Langham?	:	-----Please select----- The Langham Auckland Website The Langham Auckland enewsletter Google Recommendation Twitter Facebook Langham Supper Club 1865 programme Other