Backpacker Budget Economy Intermediate Station Wagon Van - Minibus

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Please follow the steps below to ensure that we get everything that is needed for a successul booking. If you have any problems Contact Us. Once completed please PRINT out and FAX to +64 3 366 4859 or send by mail

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Your name Your e-mail Email addresses must be included and correct to receive a response Address City Address2 Country State Zip Phone Fax Driver's licence No Country licence issue Date licence issue Expiry date Date of birth     Vehicle Auto Manual Tick Class Backpacker Budget Economy Intermediate Station Wagon 2WD or 4WD   Van - Minibus Buy-Back Enquiries (suitable for hires longer than 2 months), Select your Budget NZD $2000 $3000 $4000 $5000 $6000 $7000 $8000 $9000 $10000 $11000 $12000 $13000 $14000 $15000 $16000 $17000 $18000 $19000 $20000+

Accessories

Baby Seat Child Booster Seat

Travel Itinerary

Pick-up Christchurch Drop-off Auckland Wellington Picton Nelson Greymouth Christchurch Queenstown Dunedin

Please give us an indication in the box below where you will be travelling:

for example:                  e.g Around the local Christchurch area                  e.g Queenstown and the bottom of the South Island

No of Adults 01 02 03 04 05 06 07 08 09 10 No of Children 01 02 03 04 05 06 07 08 09 10

Pick up Time 12:00am 12:30am 1:00am 1:30am 2:00am 2:30am 3:00am 3:30am 4:00am 4:30am 5:00am 5:30am 6:00am 6:30am 7:00am 7:30am 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm 5:30pm 6:00pm 6:30pm 7:00pm 7:30pm 8:00pm 8:30pm 9:00pm 9:30pm 10:00pm 10:30pm 11:00pm 11:30pm Drop off Time 12:00am 12:30am 1:00am 1:30am 2:00am 2:30am 3:00am 3:30am 4:00am 4:30am 5:00am 5:30am 6:00am 6:30am 7:00am 7:30am 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm 5:30pm 6:00pm 6:30pm 7:00pm 7:30pm 8:00pm 8:30pm 9:00pm 9:30pm 10:00pm 10:30pm 11:00pm 11:30pm Flight#

Start Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) Year 2007 2008 2009 2010 2011 2012 2013 2014 2015 Finish Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) Year 2007 2008 2009 2010 2011 2012 2013 2014 2015

Credit card details are required to confirm bookings

Name On Card

Credit Card Type Visa Mastercard

Credit Card Number

Expiry Month / Year Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) / 2007 2008 2009 2010 2011 2012 2013 2014 2015

Comments, Enquiries and Special Requests