Please enable Javascript in your browser to use the navigation on this site
 
 
 
   
   
 
   
 
   
REQUEST INFORMATION  
 

We welcome the opportunity to discuss your travel requirements with you and are pleased to provide you with a quotation at no cost. To assist us to meet your specific needs, please provide us with as much information as possible.

Information Request Form

Vacation Description

 

Vacation Type:

Tour Name:

Tour Code (if applicable):

Hotel Standard:

Room Type:

Is this your first trip to the South Pacific?:

yes no

What countries would you like to visit this trip?

Australia

New Zealand

Fiji

Tahiti

Cook Islands

Samoa

Tonga

Vanuatu

Papua New Guinea

 

Description/Comments:

 
Flight Information

 

Departure City:

Preferred Departure Date:

Preferred Return Date:

 
 

Passenger Information

Name(s) (as it appears in your passport):

Age:

Number of Adults:

Number of Children:

Ages of Children:

Travel Budget per Person:

 
Contact Information

 

First Name

*

Last Name

*

Address 1

*

Address 2

City

*

State

*

Zip Code

*

Home Phone

*

Work Phone

Fax Number

Email

*

I would like to receive information about ANZGS Special Offers

 (Please note: Your personal information will remain confidential at all times and will only be used to update you on our products and services. We respect your privacy) 

 
Additional Information

 

Please contact me by:

Best time to call:

If you have a Preferred Travel Agency, please complete the following:

Travel Agency:

Name of Travel Agent:

Travel Agent Phone Number:

Travel Agent Email:

 
 

Comments/Questions

 


 
AUSTRALIA NEW ZEALAND FIJI TAHITI SPECIAL INTERESTS
Travel with us | who are we | need a quote | links | Contact us | Travel tips | Airlines