home » Gift Vouchers » Gift Vouchers Order Form

Please complete all fields of the Order Form below to ensure fast delivery of your Gift Voucher.

 

Step 1. Order Details

Names of recipients
(printed on voucher)
Names of senders
(printed on voucher)
Voucher value:
$5 will be added to total payment for postage and handling.
Sender's name and address
(for delivery of voucher)

Name

Address
Sender's daytime telephone number:

Step 2. Payment Details
Please be assured that your credit card number will be protected and is being transmitted securely using a 128bit encyrption.
Cardholders Name *
Credit Card *
Card Number - - - *
Expiry Date / *
Security Number

*
Please provide the last three digits of the number on the signature panel on the back of your credit card.

I understand Shizuka Ryokan's Privacy Policy and Booking Conditions *

Step 3. Finish
Please provide any special comments or additional requirements below.