Custom Itinerary Questionnaire
Personal details:
Title:*
Mr
Mrs
Miss
Ms
Mstr
Sir
Dr
Prof
Gen
Col
First Name:*
Family Name:*
e-mail Address:*
Street Address:*
Town/City:*
State:*
Post Code:
Country:*
Home Phone (incl area code):*
Business Phone (incl area code):
Mobile Phone
Adults in Party:
Number
Age range
Children in party:
Number
Specify ages at time of trip
Details for your
trip:
Do you want to visit
Please select
New Zealand
Australia
New Zealand and Australia
Have you visited before?
Have you booked you flights
Please select
Yes
No
Date arrive in country at trip start
Date depart country at trip end
Do you have an idea of your budget
excluding international flights, knowing
this will enable us to provide you with
more relevant recommendations in our
first draft.
Currency:
Please select
US$
UK Pounds
AUD$
Euro
CAN$
NZ$
Amount:
Please select
Less than 3000
3000 to 5000
5000 to 7000
7000 to 10,000
10,000 to 12,000
12,000 to 15,000
15,000 to 20,000
20,000 to 25,000
25,000 to 30,000
30,000 to 40,000
40,000 to 50,000
Above 50,000
What is your transportation preference:
Will you consider internal flights
to maximise your visit?
Please select
Yes
No
What are your preferences
for the styles/quality of accommodation
you want to stay at and do you have
an idea of a budget per night we should
work within.
Any comments on budget or constraints?
If there any accommodation
places that you have already identified
and decided that you would like to stay
at please tell us their names.
If there any places/locations
that you have already identified that
you must visit please tell us.
If there any activities
that you have already identified that
you must do or interests or hobbies
you want to pursue please tell us.
Are there any particular
thing (s) are you prevented from doing
because of Medical/Phobia/Dislike?
Do you have any dietary
or other special requirements?
Do you prefer a queen,
king or twin single beds?
Do you have anything
else you would like to tell us that
we should consider for your holiday?
Please tell us to what
extent you would like us to help you?
Please select
Complete service itinerary designing, budgeting and booking
We have our own itinerary for you to book
Information and advice only
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