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 yes, in what class? Coach Business First Class Preferred USA city or airport?
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 or area you desire: France; Loire Valley, Normandy & Paris France; Provence, the Riviera, and Monte Carlo Southwest France; Bordeaux, the Dordogne Valley, Prehistoric Caves of Perigord France; 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 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 / Boutique Hotels / Farmstays 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?: Cultural / Historical Culinary (Food & Wines) Religious Academic / Educational 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). Input any details here.
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 Saturday 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)
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