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 ?
	Yes  No 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) :
	King  Queen  Double  Twin  Single
11.	Breakfasts Required in Itinerary ?
	Yes - Continental  Yes - Cooked  Not required
12.	Smoking Requirements :
	Smoking  Non-Smoking
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 ?
	Yes  No If "Yes" has this been obtained ?  Yes  No