Newmans Vacations - Travel Agent Booking/Quotation Form
Vacation Description
Vacation Type:
Please Select
Independent Vacation
Escorted Tour
Module or Stopover Package
Other (please decribe)
Tour Name:
Tour Code (if applicable):
Hotel Standard:
Please Select
Quality
Superior
Deluxe
Super Deluxe
Room Type:
Please Select
Single
Twin
Double
Triple
Quad
Is this your client's first trip to the South Pacific?:
yes
no
What countries would your client like to visit during this trip?
Australia
New Zealand
Fiji
Tahiti
Cook Islands
Samoa
Tonga
Vanuatu
Papua New Guinea
Description/Comments:
Flight Information
Departure City:
Preferred Departure Date:
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2004
2005
2006
Preferred Return Date:
Select Month
January
February
March
April
May
June
July
August
September
October
November
December
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2004
2005
2006
Client Information
Name(s) (as they appears in their passport):
Number of Adults:
Number of Children:
Ages of Children:
N/A
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
N/A
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
N/A
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Contact Information
Agency Name*:
IATA/ARC*:
Consortium* (place N/A if not affiliated):
Travel Agent Name*:
Address 1*:
Address 2:
City*:
State*:
Zip Code*:
Phone Number*:
Fax Number:
Email*:
I would like to receive information about Newmans Travel Deals:
(Please note: Your personal information will remain confidential at all times and will only be used to update you on our products and services. We respect your privacy)
Additional Information
Please contact me by:
Please Select
phone
fax
email
Best time to call:
Comments/Questions
All contents © 2005 Newmans Vacations. CST# 2001136-50
