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Self Drive Packages
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:

 

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
1430 / 1750
1730 / 2050
2230 / 0150

PIC/WLG

0930 / 1230
1430 / 1750
1730 / 2050
2230 / 0150

Number of Adults: Number of Children:

 

Additional Requirements
 

 

Payment
Please circle the appropriate.
Credit Card Type:

Visa           /           Mastercard           /           Amex

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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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