Print & Fax Booking
A Campervan Company
Print and Fax Booking : + 64 9 359 9925
Freephone :0800 33 4444 (from overseas + 64 9 255 5444)
Personal Details :
Name: ............................................. State: .................
Address: ............................................. Zip: .................
City: ............................................. Phone: .................
Country: ............................................. Fax: .................
E-mail address: .............................................

Requirements :
(.......) Rental Car: (.......) Micro Campervan:
(.......) Thrifty Campervan: (.......) Economy Campervan
Optional extras :
(.......) One way hire - $400 relocation fee
(.......) Zero Insurance Excess - $10 per day/$180 for 18 days +
(.......) cool box $10 (free with Micro Camper)
(.......) Outdoor Table and Chairs $30 per hire (free with Micro Camper)
(.......) Linen Pack (Duvet, sheet, pillow): $30 (number of person ....... )
Travel Itinerary :
Start Location: .................. Finish Location: ..................
Start date: .................. Start time: ..................
Finish date: .................. Finish time: ..................

I hereby agree to use my credit card for a $150 non-refundable deposit.:
(.......) Visa (.......) Mastercard
(.......) Diners (.......) Amex
CARD# ........ ........ ........ ........ ........ ........ Exp date ........ .........
Cardholder's Name ........ ........ ........ ........ Signature ........ ........ ........
Comments:

................. .................. .................. .................. ..................

.................. .................. .................. .................. ..................

.................. .................. .................. .................. ..................

Oversea - Phone + 64 9 255 5444 Freephone : 0800 33 4444 Fax: + 64 9 359 9925
Auckland: 19 Great North Road, Auckland City, New Zealand
Christchurch: 22 Waller Tce, Christchurch City, New Zealand