Help us design your vacation by completing the following form
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The information you provide will assist us in customizing your vacation and will be treated confidentially.
Additional information is required to prepare a customized quote and requires a phone call. This personal contact enables us to fine-tune arrangements to suit your requirements, and results in a more accurate quotation. We are happy to combine wine and other touring requests. If you are a resident of Australia or New Zealand, we will forward your request to our partners in the appropriate country to give you prices in local currency
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Please complete the following form, adding any special details.                 

Required input * please.

First name*   
Last name *  
Title (Mr./Ms./Mrs.)  
Street address  
City *  
State/Province *  
Zip/Postal code  
Country *  
Phone Number *  
E-mail address *  
Number traveling   
Departure date Day Month Year
Return date Day Month Year
Home city or airport
Flights

Business Class

Premium Economy Economy

Transport

Private car Self-drive 

Small Group Combination

Hotel Choice  5 Star 4 Star 3 star  Boutique hotel
B&B  Apartment  Combination
Wine Regions Australia  New South Wales
Victoria
South Australia
Western Australia 
Tasmania
Other
   
   
Wine Regions New Zealand  North Island               South Island
Auckland                   Marlborough/Nelson
Hawke's Bay/Gisborne Canterbury/Waipara
Wellington/Wairarapa Central Otago  
Other
   
Special Requests 
Other areas of interest  Ayers Rock Great Barrier Reef 

 Other 

Have you visited Australia or New Zealand before?  Yes No
When should we call you to discuss your itinerary? Time of day? *          
US Time zone?       
How did you hear about us?     
 

Wine Tours Australia & New Zealand
In conjunction with TAL - CST: 100877340
San Diego CA
Tel: 858-550 9696 [8am-5pm PST]
Email: [Mike@winetoursaustralia-nz.com]

 

 

 
 
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