Stewart Island Ferry Reservation Form

Stewart Island Ferry Reservation Form
*Contact Name : * Required** * If a Travel Agency Booking Enter - Travel Agency Name
Travel Consultant's Name : * If a Travel Agency Booking
Client's Name : * If a Travel Agency Booking
*Contact Email Adress: Required**
*Contact Phone Number : Required**
Cell Phone Number : (New Zealand Residents Only)
Fax Number :
Street Address, City, State & Post/Zip Code : * Required
*Country: Required**
*Number of Adults: Required**
Number of Children (2-14yrs):
Number of Infants (0-2yrs):
Names of All Adults & Children travelling including Children age/s : Required under New Zealand Maritime Law
Travel Date :
From:
To :
Time:
Return Travel Date :
From:
To :
Time:
Credit Card Number : (0000-0000-0000-0000)	*Payment is due at the time of booking
Expiry Date: (mm/yr)
Cardholder's Name:
I would like to :
Comments, special needs, alternative time/s, etc :

Please check your email address is correct.

Prices are for guidance and subject and includes local taxes.
Your reservation will be sent direct to Stewart Island who will confirm availability and prices.
All reservation's are to be paid by a credit card. Failure to do so, may result in the reservation being cancelled.
You will receive an email acknowledgement that your Reservation Request has been sent.

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