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Coach Tours
Enquiry/Booking Form

 
Complete this form and fax it back to us at 1-310-568-2068.
 
Contact Details
Please advise full travel information here.
Contact Name:  
Address:  
   
City:  
State/Province:  
Zip/Postal Code:  
Country:  
Phone:  
Fax:  
Email:  
 
  Date: (dd/mm/yyyy) Flight Number / Time:
Arrival Flight into NZ:    
Departure Flight from NZ:    
 
Total Number of Adults: Total Number of Children:

 

Tour
Please advise the tour requires.
Tour Name:  
Departure Date:

(dd/mm/yyyy)

 

Accommodation
Please circle the appropriate.
Category:

Standard           /           First Class
Room Type:

Twin __________ / Single __________ / Triple __________

 

(Please indicate the number of people in each room type)
 
Name of People Travelling Age Group Sharing Room Type
     
     
     
     
     
     
     
     
     
     

 

Additional Requirements
 

 

Payment
Please circle the appropriate.
Credit Card Type:

Visa           /           Mastercard           /           Amex

visa.gif (815 bytes)                   mstrcard.gif (2096 bytes)                  amex.gif (1726 bytes)
Card Number
(& PIN if Amex):

 
Expiry Date (mm/yy):

 
Cardholder Name:  
Full payment required 14 days PRIOR TO TRAVEL (Refer to our Terms & Conditions).

 

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