Once the online purchase form is completed and received by Chuan Spa, an agent will contact you. Payment by credit card. If you do not hear from us, please call us on 1800 641 107 to confirm that your online purchase form has been received. Chuan Spa and The Langham, Melbourne do not take responsibility for online purchase forms that are not received.

Contact Information

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

Gift Voucher details

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

Mailing Options

Mailing Options			Regular mail ��" Five business days for voucher to be prepared & mailed, complimentary postage
			Express mail envelope ��" next business day $8.00* (can hold 1 ��" 3 gift certificates)
			Express mail satchel ��" next business day $14.00 (can hold 3 ��" 40 gift certificates) (There is a 4pm deadline for Express Post)
			Street Address   : City   : State   : Post Code   : Country   :

Purchase voucher with a specific value

Total Amout

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Purchase voucher with specific treatment

Treatment Package	:	-----Please select----- Vitality ($179) Tranquility ($179) Body Elements ($269) Indoceane ($300) Tao of Detox ($395) Escape ($395) Restore and Renew ($459) Serenity Shen Couples Treatment ($750)
Massages	:	-----Please select----- Balancing Massage (30 mins - $89) Balancing Massage (60 mins - $149) Balancing Massage (90 mins - $205) Harmony (30 mins - $89) Harmony (60 mins - $149) Harmony (90 mins - $205) Tui Na (30 mins - $89) Tui Na (60 mins - $149) Tui Na (90 mins - $205) Deep Tissue (30 mins - $89) Deep Tissue (60 mins - $149) Deep Tissue (90 mins - $205) Remedial (30 mins - $89) Remedial (60 mins - $149) Remedial (90 mins - $205) Hot Stone Massage (60 mins - $169) Hot Stone Massage (90 mins - $234) Pregnancy Massage (60 mins - $149) Pregnancy Massage (90 mins - $205) Expectant Mother (90 mins - $205)
Facials	:	-----Please select----- Phyt's Facial 30 mins ($95) Phyt's Facial 60 mins ($155) Phyt's Facial 90 mins ($205) Thalgo Facial 30 mins ($95) Thalgo Facial 60 mins ($159) Thalgo Facial 90 mins ($205)
For Men	:	-----Please select----- Hand and feet indulgence ($159) Men's Maintenance ($159) A Man's World ($239)
Scrubs & Wraps	:	-----Please select----- Herbal Salt Scrub ($100) Detox Body Wrap ($169) Muddy Elements ($249)
Hand & Foot	:	-----Please select----- Healing hands ($139) Feet Retreat ($139) Hand and Feet Indulgence ($159) File and Polish ($79)

Other Details

*How did you hear about Chuan Spa?	:	-----Please select----- Chuan Spa Website Recommendation Google Email Facebook Herald Sun Newspaper Herald Sun online Referred by Friend 1865 Members Club Langham Advantage Club Post Card

*Australia Post guarantee's next day delivery if opting for Express mail. The Langham, Melbourne does not take responsibility for delivery of gift certificates