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Gift-certificates Request
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Gift-certificates Request
To order one or more gift-certificates from Hôtel Levesque, fill out and submit this protected and encrypted form. Or call us at 418 862-6927 or toll-free at 1 800 463-1236. Our staff will be happy to help you in any way.
Fields in bold are required.
Billed to
Mr
Ms
First name
:
Last name
:
E-mail
:
·
name@domain.com
Company:
Function:
Address
:
City
:
Country
:
Voici des items servant d'affichage de Netscape
Voici un 2e item pour Netscape
Voici un 3e item pour Netscape
Voici un 4e item pour Netscape
Voici un 5e item pour Netscape
Other
Province/State
:
Voici des items servant d'affichage de Netscape
Voici un 2e item pour Netscape
Voici un 3e item pour Netscape
Voici un 4e item pour Netscape
Voici un 5e item pour Netscape
If other:
Postal Code
:
·
X9X 9X9
Phone
:
·
(555) 555-5555
Fax:
·
(555) 555-5555
Delivered to
Deliver at the same address
:
Yes
No
Mr
Ms
First name
:
Last name
:
Address
:
City
:
Country
:
Voici des items servant d'affichage de Netscape
Voici un 2e item pour Netscape
Voici un 3e item pour Netscape
Voici un 4e item pour Netscape
Voici un 5e item pour Netscape
Other
Province/State
:
Voici des items servant d'affichage de Netscape
Voici un 2e item pour Netscape
Voici un 3e item pour Netscape
Voici un 4e item pour Netscape
Voici un 5e item pour Netscape
If other:
Postal Code
:
·
X9X 9X9
Phone
:
·
(555) 555-5555
Information on the gift-certificate(s)
Number of gifts
:
1
2
3
4
5
6
7
8
9
10
Other
If other:
Purpose of the
gift certificate(s)
:
Wedding
Anniversary
Christmas
Business gift
Random draw
Retirement
Appreciation
Social club
Golf tournament
Sales contest
Motivation campaign
Other
If other:
Value per gift
:
50 $ CA
100 $ CA
150 $ CA
200 $ CA
250 $ CA
300 $ CA
350 $ CA
400 $ CA
450 $ CA
500 $ CA
550 $ CA
600 $ CA
650 $ CA
700 $ CA
750 $ CA
800 $ CA
850 $ CA
900 $ CA
950 $ CA
1000 $ CA
Other
If other:
Payment method
:
Credit card
Phone (credit card)
Credit card information
A credit card is required to confirm and guarantee your gift-certificate(s). Because we take your security seriously, we use a secure website to process your transaction and ensure the confidentiality of your personal information.
Credit card
:
Visa
MasterCard
American Express (AMEX)
Diners
En Route
Credit card number
:
Expiry date:
2012
2013
2014
2015
2016
2017
2018
YYYY
5
6
7
8
9
10
11
12
MM
Cardholder name
:
Other information
How did you discover our website?
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Other
If other:
Comments or questions:
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Reservation :
1 800 463-1236
Last update: Thursday, May 17, 2012 © 2006 - 2012 - Hôtel Levesque