CONTACT US

44 Little Bourke Street

Melbourne 3000
T + 61 3 9671 3151
M E L B O U R N E
F + 61 3 9671 3152
melbourneinfo@longrain.com
ABN 63561914674

CON F IR MA T I O N & A U T H O R ITY FO RM

For all group reservations of 10 guests or more, we require credit card details to secure your booking.
Your reservation is confirmed upon the return of the signed credit card authorisation form.
Your card will not be charged in advance, but is held as security for your reservation and utilised for
any applicable cancellation or non-arrival.
A discretionary 7% service charge applies to all groups of 10 or more Monday to Saturday.
On Sundays & Public Holidays, a 10% surcharge applies.
Final numbers are to be confirmed 24 hours prior to your booking. We will only charge $200 on your
card if you do not show for your reservation or cancel less than 48 hours before your booking time.

Reservation Name

Reservation Date

Reservation Time

Contact Phone

Email for Receipt

Number of Guests

Additional Menu Options (please circle) FISH CHICKEN BEEF

HOLDING DEPOSIT AMOUNT $200

CREDIT CARD VISA DINERS AMEX MASTERCARD

(please circle)

CREDIT CARD
NUMBER

EXPIRY DATE / CVV

I, , hereby authorise 44 Little Bourke Street Pty Ltd to use

my credit card number for holding deposit of $200 for the securing of my reservation.

Signed Date

10% Surcharge applies on Sundays & Public Holidays

Please return this form to Longrain Melbourne
Email: melbourneinfo@longrain.com