Complete this form to instruct us to begin a booking.
All bookings are subject to cancellation until a deposit is received and funds cleared. Deposit can be made by FAXing a credit card authorization.
Number of passengers?
1
2
3
4
5
6
7
8
9
10+
Departure date:
Return Date:
Do you already have air tickets/reservations?
No
Yes
(If yes, please indicate the exact dates and flight numbers
in the comments section below.)
If no, do you wish us to quote international airfare?
No
Yes
If yes, in what class?
Coach
Business
First Class
Please indicate the exact spelling of all passenger names as on passports.
(Lastname, Firstname, Middle initial.) ex. Smith, John Q.
Passenger #1:
Passenger #2:
Passenger #3:
Passenger #4:
Passenger #5:
Passenger #6:
Select specific tour/package you wish to book:
France: Loire Valley, Normandy & Paris
France: Provence, the Riviera, and Monte Carlo
Southwest France: Bordeaux, Dordogne Valley, ancient caves of Perigord
Paris, Strasbourg & Wine Road of Alsace
Italy: Florence, Tuscany, Umbria and Rome
Italy: Rome and the Amalfi Coast
Italy: Venice, Florence, & Rome : Air/Rail Journey
Italy - Group: Christian Heritage
Northern Italy: Lakes, Italian Alps, Veneto & Venice
Austria’s Alps, Vienna, Danube Valley & Salzburg
Croatia: Pearl of the Adriatic
Czech Republic: Prague & Bohemian Countryside
Treasures of Turkey: with private car and driver/guide
Africa (Egypt, etc.)
Asia
South America
Central America
South Pacific (New Zealand, Tahiti, Australia)
Other
Class of Accomodations?:
Luxury Lodges
B&B's and/or Boutique Hotels
5-star Hotels
4-star Hotels
3-star Hotels
Tourist/budget rooms
Land budget per person?
less than $1,000
$1,000 - $2,000
$2,000 - $3,000
$3,000 - $4,000
$4,000 - $5,000
$5,000 - $7,500
$7,500 +
unknown (just shopping)
Favorite activities?:
Academic / Educational
Cultural / Historical
Culinary (Food & Wines)
Religious
Hiking
Water (boating/sailing/fishing)
Adventure, mild (scuba/snorkel/kayak)
Adventure, extreme (skydiving/bungy/etc.)
Type of trip you prefer?
Self-drive / FIT (Fully Independent Travel)
Private driver / escorted
Group Travel (specific dates)
Cruise (river)
Cruise (ocean)
Other Comments and Special requests:
(Please indicate any flight details, and dietary or health restrictions in this section).
Please indicate if you represent any of the following:
Academic Institution
Museum
Other non-profit organization
Tourism board
Travel agency
n/a: Individual (for personal travel)
How did you hear about us?
Google
MSN
Yahoo
Overture
Other search engine
Tourism board
PureNZtravel web site
Other web site
Brochure/Flyer
Friend or Family
eMail
Other
Best time of day for us to contact you?
Morning
Afternoon
Evening
Time zone?
Eastern USA (GMT-5)
Central USA (GMT-6)
Mountain USA (GMT-7)
Pacific USA (GMT-8)
Hawaii (GMT-10)
London (GMT)
Rome (GMT+1)
India (GMT+6)
Hong Kong (GMT+7)
Sydney (GMT+10)
New Zealand (GMT+12)
Phone:
*required
e-Mail:
*required
Your name:
*required