Booking Form

Please use the form below to request your booking

Passengers
Note: Please enter details for all passengers

Passenger 1

Contact Details
Emergency Contact Details
Travel Insurance

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Booking Options
Payment
Please note:
A non refundable deposit of $500 is required to secure your booking.
Full payment is required by 06 September 2019.
Please call us or we will call you to take your credit card details over the phone. A 2% surcharge will be added to all Credit Card payments. We will send you an email soon to confirm your booking.
Please pay the deposit into our BNZ bank account number 02 0404 0199298 00. Please use your surname as the reference. We will send you an email soon to confirm your booking
Please post your cheque to Pukekohe Travel, PO Box 313, Pukekohe, 2340. We will send you an email soon to confirm your booking.
We look forward to seeing you in our office soon. We will send you an email soon to confirm your booking.
Confirm details and submit booking

Please confirm all details below are correct and then click submit to confrirm your booking

Passengers

Booking Details

Where did you hear about this trip

Payment Information

Please note:
A non refundable deposit of $500 is required to secure your booking.
Full payment is required by 06 September 2019.
Payment method:
Confirmation:

Confirmation

I agree that the above details are correct and I read and understand the conditions Pukekohe Travel have stated in their terms and conditions on their brochure.

Note:

  • Itinerary subject to change.
  • Pukekohe Travel assumes no liability for any loss or damage as a result of an Act of God or any other force majeure condition including, but not limited to, volcanic disruption, earthquake, low or high water levels, flood, tropical storms or hurricanes.
  • Pukekohe Travel reserves the right to refuse any booking at their sole discretion and return any deposit received.
  • We wish to assure you that we take every care with your personal information recorded on this booking form. Rest assured this information will not be sold or distributed to a third party.
  • Pukekohe Travel reserves the right to correct errors and omissions detailed on our website.
I confirm that all details provided are correct.
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