Secure Booking Form for Luxury Vacations New Zealand

Take Me Back To
The Home Page

Please use this secure booking form to send us your credit card details for your New Zealand holiday. Your card will be charged in the amount advised to you via email.

Alternatively if you prefer, you can fax this form to us at +64 9 532 8825.

We also request that you read our terms and conditions. Payment of your deposit is acceptance of these terms and conditions.

Lastly Luxury Vacations New Zealand takes your privacy very seriously and you can be assured that we will never distribute, sell or rent your information to anyone else. If you have any questions about our privacy policy, please email us.

Fields marked with * must be completed.

YOUR PAYMENT DETAILS

Name On Credit Card: *

Credit Card Billing Address: *

*

*

*
City
State/Province
ZIP/Postal Code
Country

Home Phone Number: * (please include country code and area code)

Email Address:

Reconfirm Email Address: *

*

Booking Reference #
(if given):

Credit Card Type: *

Credit Card Number: *

Credit Card Expiry: * Month:    Year:

I have read & accept the
booking terms & conditions: * Accept   Decline

Additional Comments:



� Luxury Vacations New Zealand Ltd 2004
1st Floor, 121 Elliot Street, PO Box 39397, Howick, Auckland, New Zealand
Phone +64 9 537 2325, Fax +64 9 532 8825, Email travel@luxuryvacationsnz.com