BOOKING FORM of AOTEAROA MOTORHOMES.

Please, fill in this form, then print it out and send by fax to the number below. Thank you
+64-9-263 9127

(Please select by crossing one out) FREE QUOTATION
BOOKING
Select Campervan
(cross one out) :
(required)		 2 Berth Hi-Top Campervan
2+2 Berth Transit Motorhome

Location of pick-up:
(cross one out)
(required)		 Auckland
Christchurch
Date of pickup: Day: Month: Year:
(required)
Date of drop-off: Day: Month: Year:
(required)
Location of drop-off:
(cross one out)
(required)		 Auckland
Christchurch
Flight arrival  Day: Time:  
(if known)  

INTERISLAND FERRY: We can make reservations on your behalf, please advise if you require this service (advanced bookings are recommended during peak periods December to March)
Ferry date:  Day: Month: Year:

Please do not forget:
(required in bold)
Your name:
Your address:
Your town/city:
Your country:
Your phone no:
Your e-mail:

Payment details:
(only if you do a booking)
Credit Card:
Credit Card Number:
Expiry Date: MM/YY /
If AMEX -security number:
Name as on the Credit Card:
Amount in NZ$:

By signing this "form", I fully agree to the terms and conditions of AOTEAROA MOTORHOMES and make a reservation for the above campervan.



_____________________________
your signature