fax booking

Thank you for choosing Queenstown Car Hire for your New Zealand vehiclex rental. Please fully complete the form below. Once you have completed the form please print and fax to +64 3 488 0467 or send by mail.

(Bold required)
Your name Your e-mail   Email addresses must be included and correct to receive a response   Address City Address2 Country State Zip Phone Fax Mobile   Driver's licence No Country licence issue Date licence issue Expiry date Date of birth
Vehicle Tick Class economy compact touring family executive people mover 4wd 4wd large (5 seater) 4wd large (8 seater)
budget vehicles (Well maintained 2002-2004 models) economy compact station wagon executive people mover 4wd
Preferred Transmission	Automatic	Manual
optional accessories	Childs Seats	Booster Seats	Snow Chains	GPS
	Ski Racks	Snowboard Racks	Bike Carrier	Luggage Box
Travel Itinerary
Start Location Dunedin Queenstown Invercargill Christchurch Wellington Auckland Finish Location Dunedin Queenstown Invercargill Christchurch Wellington Auckland Pick up Time 12:00am 12:30am 1:00am 1:30am 2:00am 2:30am 3:00am 3:30am 4:00am 4:30am 5:00am 5:30am 6:00am 6:30am 7:00am 7:30am 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm 5:30pm 6:00pm 6:30pm 7:00pm 7:30pm 8:00pm 8:30pm 9:00pm 9:30pm 10:00pm 10:30pm 11:00pm 11:30pm Drop off Time 12:00am 12:30am 1:00am 1:30am 2:00am 2:30am 3:00am 3:30am 4:00am 4:30am 5:00am 5:30am 6:00am 6:30am 7:00am 7:30am 8:00am 8:30am 9:00am 9:30am 10:00am 10:30am 11:00am 11:30am 12:00pm 12:30pm 1:00pm 1:30pm 2:00pm 2:30pm 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm 5:30pm 6:00pm 6:30pm 7:00pm 7:30pm 8:00pm 8:30pm 9:00pm 9:30pm 10:00pm 10:30pm 11:00pm 11:30pm Arrival Flight# Departure Flight#
Please give us an indication in the box below where you will be travelling:
for example: e.g Around the local Queenstown area e.g Queenstown and the bottom of the South Island
No of Adults 01 02 03 04 05 06 07 08 09 10 No of Children 01 02 03 04 05 06 07 08 09 10
Start Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) Year 2007 2008 2009 2010 2011 2012 2013 2014 2015 Finish Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) Year 2007 2008 2009 2010 2011 2012 2013 2014 2015
Comments, Enquiries and Special Requests
Credit card details are required to confirm bookings
Name On Card
Credit Card Type Visa Mastercard
Credit Card Number
Expiry Month / Year Jan (1) Feb (2) Mar (3) Apr (4) May (5) Jun (6) Jul (7) Aug (8) Sep (9) Oct (10) Nov (11) Dec (12) / 2007 2008 2009 2010 2011 2012 2013 2014 2015
I have read and understood Queenstown Car Hire Terms & Conditions