NZ Top-2-Bottom
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TOP-2-BOTTOM - Application Form
Your Details:
Departure Date
Select
Oct 31, 2005
Nov 21, 2005
Dec 12, 2005
Jan 2, 2006
Jan 23, 2006
Feb 13, 2006
Mar 6, 2006
Mar 27, 2006
Oct 30, 2006
Nov 20, 2006
Dec 11, 2006
Jan 1, 2007
Jan 22, 2007
Feb 12, 2007
Mar 5, 2007
Mar 26, 2007
Full Name
Nickname
Full Mailing Address
Day Phone
Evening Phone
Email
Fax
Occupation
Citizenship
Date of Birth
Marital Status
Height
inches
cm
Weight
lbs
kg
Gender
Male
Female
Passport Number
I'm willing to share
a room with...
Please indicate name/s and room type, ie "Double" (1 room, 1 bed), "Twin" (1 room, 2 beds) or "Triple" (1 room, 3 beds)
I Prefer single room
(supplemental cost of NZ$750)
Describe your health and list any dietary restrictions, allergies, etc.
Describe nature and extent of your hiking and outdoor experience.
Contact Person in Case of Emergency
Traveling Companion Details:
Name
Nickname
Full Mailing Address
Day Phone
Evening Phone
Email
Fax
Occupation
Citizenship
Date of Birth
Marital Status
Height
inches
cm
Weight
lbs
kg
Gender
Male
Female
Passport Number
I'm willing to share
a room with...
Please indicate name/s and room type, ie "Double" (1 room, 1 bed), "Twin" (1 room, 2 beds) or "Triple" (1 room, 3 beds)
I'd prefer single room
(supplemental cost of $700)
Describe your health and list any dietary restrictions, allergies, etc.
Describe nature and extent of your hiking and outdoor experience.
Contact Person in Case of Emergency
Payment Details
Price/ Person
Number of People
Total
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Total :$
Payment Method:
Payment Method
Credit Card
Cheque
If paying by cheque, Please supply details of cheque and when sent.
If paying by Credit Card, you will NOT be debited immediately.
What's next?
We will call or email you within 24 hours (unless it's the weekend) to confirm that there's space available on your preferred trip. Once your spot is confirmed, your deposit will be processed and we'll also give you some trip paperwork to complete.