 |
Self
Drive Packages |
| 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: | ||
| Accommodation Please circle the appropriate. |
| Category: | Budget / Economy / Standard / Superior |
| Room Type: | Twin _____ / Single _____ / Triple _____ / 2 Twins _____ |
(Please indicate the number of people in each room type) |
|
| Name of People Travelling | Age Group | Sharing Room Type |
| Rental
Cars - Budget Rent A Car Please circle the vehicle requires. |
| Vehicle Requires: | Economy 1.3L Manual / Medium Auto 1.6L / Medium Auto 2L Large Sedan 4L / Large Wagon 4L |
| Ferry
Services Please circle the appropriate date and time for inter-island ferry. |
| Ferry Requires: | Wellington / Picton (WLG/PIC) | Picton / Wellington (PIC/WLG) | |
| Date Requires: | |||
| Time: | WLG/PIC 0930 / 1230 |
PIC/WLG 0930 / 1230 |
|
| Number of Adults: | Number of Children: | ||
| Additional Requirements |
| Payment Please circle the appropriate. |
| Credit Card Type: | Visa / Mastercard / Amex
|
| Card Number (& PIN if Amex): |
|
| Expiry Date (mm/yy): |
|
| Cardholder Name: |
| Full payment required 14 days PRIOR TO TRAVEL (Refer to our Terms & Conditions).
|
Copyright © General Travel New Zealand Ltd. and AmericaOne, 1999.
