PERSONAL INFORMATION:
(to remain confidential; Home At First does not share or sell this information) 
(items marked with * are required)

Your Name*:         
Your Address*:     
Your Town/City*:  
Your State/Province*:         ZIP/Post Code*:          
Your Telephone*:  
Your e-mail address*:  

Total number of people in your group*?  
How many are children under 12*?        

What date do you wish to begin travel*?
What date do you wish to return home*?
Are your travel dates flexible*?    YES      NO
If you need flight arrangements, what will be your home airport for this trip*?
 

DESIGN YOUR OWN NEW ZEALAND TRIP:

PROGRAM PREFERENCE*:
                                       CHOOSE ONE FULL PACKAGE (Air, Lodging, Land Transport) LODGING & CAR RENTAL ONLY

How many total days do you need HOME AT FIRST lodging + car in New Zealand?      

  NZ Trip Design Preference: Home at First Designed New Zealand Itinerary Custom Self-Designed New Zealand Itinerary      

What HOME AT FIRST New Zealand LOCATIONS interest you?
ALL LOCATIONS BOTH ISLANDS
WHAT HOME AT FIRST RECOMMENDS FOR THE TIME WE HAVE.

    North Island Locations:
ALL NORTH ISLAND LOCATIONS
      NORTHLAND/BAY OF ISLANDS
      AUCKLAND
      COROMANDEL PENINSULA
      BAY OF PLENTY
      ROTORUA/TAUPO
      HAWKES BAY
      WELLINGTON REGION

    South Island Locations:
ALL SOUTH ISLAND LOCATIONS
      NELSON REGION
      WESTLAND
      QUEENSTOWN/CENTRAL OTAGO
      FIORDLAND
      DUNEDIN REGION
      MACKENZIE COUNTRY: LAKE TEKAPO/MT. COOK
      CHRISTCHURCH & CANTERBURY

What ACTIVITIES do you wish to pursue in New Zealand?
(pre-reserved or arranged on site)
GENERAL SIGHTSEEING & TOURING
NATIVE MAORI CULTURE
EXPLORING NEW ZEALAND'S CITIES
SEEING GEYSERS & GEOTHERMAL WONDERS
VISITING WINERIES
FINE DINING
SHOPPING FOR NEW ZEALAND ART OR CRAFTS
DAY CRUISING
RIDING CLASSIC TOURIST TRAIN LINES
RIDING THE 'TRANZALPINE' TRAIN
GOLF
GOLF WITH PRE-RESERVED TEE-TIMES
FISHING: CASUAL
FISHING: PRE-RESERVED WITH GUIDE
HUNTING (DEER OR OTHER LARGE GAME)—PRE-ARRANGED ONLY
BIRDING/BIRD WATCHING
SEA KAYAKING (pre-arranged optional)
WALKING/TREKKING — DAY HIKES (pre-arranged optional)
WALKING/TREKKING — OVERNIGHT HIKES (pre-arranged optional)
SCENIC FLIGHTS (pre-arranged optional)
OVERNIGHT CRUISE IN FIORDLAND (reservations necessary)
SWIMMING WITH DOLPHINS (pre-arranged optional)
SNORKELING (pre-arranged optional)
WHALE WATCHING (pre-arranged optional)
GLACIER HIKING (pre-arranged optional)
JET BOATING (pre-arranged optional)
WHITE WATER RAFTING (pre-arranged optional)
BUNGY JUMPING (pre-arranged optional)
MOUNTAIN BIKING (pre-arranged optional)
SNOW SKIING (pre-arranged optional)
OTHER (explain below)

Write any itinerary preferences or other notes here: