GIft Certificate
Fill in the form below and we will contact you shortly.
1
Gift Certificate Information
Certificate Amount*
($50-$500 USD)
Method of Shipping
Standard ($0.00)
Expedited-FedEx 2-business day($10.00)
Grand Total
2
Recipient Information
First Name*
Middle Initial
Last Name*
Phone Number*
(with area code)
Check this box if you would like the certificate to be delivered to the recipient, then enter the recipient's address below.
Note: A receipt will be mailed to the purchaser's billing address
Recipient Address Line 1
Address Line 2
City
State/Province
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Conneticut
DE - Delaware
DC - District of Columbia
FL - Florida
GA - Georgia
HA - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MP - Northern Mariana Islands
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
VI - US Virgin Islands
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
AB - Alberta
BC - British Columbia
MB - Manitoba
NB - New Brunswick
NF - Newfoundland
NT - Northern Territory
NS - Nova Scotia
ON - Ontario
PE - Prince Edward Island
PQ - Quebec
SK - Saskatchewan
YT - Yukon Territory
Zip/Postal Code
Country
United States
Canada
3
Form of Payment
(Purchaser's information as it appears on the credit card)
First Name*
Middle Initial
Last Name*
Credit Card Type*
VISA
Master Card
AMEX
Diners Club
Discover
Credit Card Number*
(
Please do
not
include spaces.
)
Expiration Date*
01
02
03
04
05
06
07
08
09
10
11
12
07
08
09
10
11
12
13
14
15
E-mail Address
Note: Northwest secures your transactions with Secure Socket Layer (SSL). SSL encrypts your private information and provides the highest security available.
4
Purchaser's Billing Information
Address Line 1*
Address Line 2
City*
State*
AL - Alabama
AK - Alaska
AZ - Arizona
AR - Arkansas
CA - California
CO - Colorado
CT - Conneticut
DE - Delaware
DC - District of Columbia
FL - Florida
GA - Georgia
HA - Hawaii
ID - Idaho
IL - Illinois
IN - Indiana
IA - Iowa
KS - Kansas
KY - Kentucky
LA - Louisiana
ME - Maine
MD - Maryland
MA - Massachusetts
MI - Michigan
MN - Minnesota
MS - Mississippi
MO - Missouri
MP - Northern Mariana Islands
MT - Montana
NE - Nebraska
NV - Nevada
NH - New Hampshire
NJ - New Jersey
NM - New Mexico
NY - New York
NC - North Carolina
ND - North Dakota
OH - Ohio
OK - Oklahoma
OR - Oregon
PA - Pennsylvania
PR - Puerto Rico
RI - Rhode Island
SC - South Carolina
SD - South Dakota
TN - Tennessee
TX - Texas
UT - Utah
VT - Vermont
VA - Virginia
VI - US Virgin Islands
WA - Washington
WV - West Virginia
WI - Wisconsin
WY - Wyoming
Zip Code*
Phone Number*
(with area code)
WorldPerks Number
Terms & Conditions
This Gift Certificate is valid up to the value indicated on the front of the voucher.
The Gift Certificate is valid for the persons named and may only be used towards the total purchase price of acommodation or expensies on the Hotel Ariau Towers. The value of the Gift Certificate must be in U.S. dollars (whole dollar amounts). Gift Certificates can be purchased in denominations from $50 to $1,500.
This Gift Certificate is transferable but not for cash or other consideration. This Gift Certificate may not be redeemed for cash, has no resale value and is nonrefundable. This Gift Certificate is void if sold, bartered or exchanged for compensation. Gift Certificates purchased from the person named are subject to confiscation, and travel will not be permitted. If a Gift Certificate is transferred, any residual value will be remitted to transferee in the form of a nonrefundable/nontransferable Miscellaneous Charges.
If the value of this Gift Certificate is greater than the expensies purchased, a nonrefundable / nontransferable document will be issued for the difference between the total price and the value of the discount indicated on the Gift Certificate.
Gift Certificates redeemed for travel must be exchanged for a guest within one year of the date of issue of the Gift Certificate. Travel must be completed within one year of Gift Certificate redemption date. Extensions will not be granted under any circumstances. By redeeming the Gift Certificate, the individual named on the hotel acknowledges the content of these Terms and Conditions and agrees to abide by them.
I agree to the terms and conditions of this purchase
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