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Information Request

Please complete the following enquiry form and we will contact you to provide additional information as required :

Personal Details
Name :
Email :
Mobile Phone No :
Country of Origin :

Travel Details
1. Do you have a specific reason for visiting New Zealand ?


If "Yes" please specify :

2. Full Names of every client travelling and their titles (ie Mr, Mrs, Ms, Miss, Mst) :


3. Number of Adults travelling :

4. Number of children travelling ( include ages) :


5. Home Departure Details

Departure Date
Departure Time
Departure Airport
Flight Number

6. New Zealand Arrival Details

NZ Arrival Date
NZ Arrival Airport
NZ Arrival Time
Flight Number (if different from Question 5 above)

7. New Zealand Departure Details :

NZ Departure Date
NZ Departure Time
NZ Departure Airport
Flight Number

8. Mode of Travel :

 Self Drive
 National Coachline
 Private Chauffeured Vehicle

9. Standard of Accommodation :

 Exclusive Lodges
 Boutique Hotels and Lodges
 Country Retreats
 5 Star Hotels
    4 Star Hotels
 3 Star Hotels
 Farm Stays
 Motel Pass

10. Bedding Configuration (quantity) :


11. Breakfasts Required in Itinerary ?

 Yes - Continental
 Yes - Cooked
 Not required

12. Smoking Requirements :


13. Please Indicate Any Special Dietary Requirements :


14. List Any Specific Attractions / Sights to Include in Itinerary :


15. List Specific Regions to Include in Itinerary :


16. Do You Require a Visa to Enter New Zealand ?


If "Yes" has this been obtained ?



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