Please complete this form to join Optimum. To facilitate input, please complete this form in English.
Company Information
1. Company Name *
2. Company Address *
3. City *
4. Location*
5. State/Province
(Only required for addresses in USA, Canada, Australia, Mexico and Mainland China.)
6. Postal/ZIP code
7. Company Website
8. Nature of your business *
Company Contact
9. Salutation *
10. First Name *
11. Last Name *
12. Business Title *
13. Telephone Number *
Country Code Area Code Phone Number
14. E-mail Address *
15. Which of the following hotels do you plan to stay at the most?*
Name of the hotel
(Note: The hotel chosen will be assigned as your Base Hotel, which the Membership Account will be based and with a sales representative designated. Upon the Base Hotel is assigned, the Base Hotel shall not be changed or replaced.)
16. Number of room nights expected to stay at our hotels on an annual basis *
(Note: To qualify for the programme you need to stay at any of our hotels for a minimum of 20 nights)
17. Terms and conditions
I have read and understood the Optimum terms and conditions. I certify that I have the authority to enroll the above-mentioned company in this programme and that all completed information is true and accurate to the best of my knowledge. I further acknowledge that the information collected by the Optimum programme is the property of Langham Hotels International and members of Langham Hospitality Group.
By submitting any information through this website, I certify that I have the authority to provide such information on behalf of my company's employees to Langham Hotels International and members of Langham Hospitality Group, and that I have received all the necessary permissions from each individual whose information will be provided for them to be enrolled in the Optimum programme.
I agree and accept the OPTIMUM Programme terms and conditions. *
I agree Langham Hotels International to use my personal data for direct marketing.
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