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Section 1: Your Contact Details:

Company/Organisation*

Contact Person*

Position/Job Title

Postal Address*

Country*

Email Address*

Phone Number*
Please include country & area codes

Mobile Number
Please include country code if outside New Zealand


Section 2: Your Charter Requirements:

Number of People Travelling*

Departure Date*

Departure Time*

Pick-up Location*

List Or Upload Your Itinerary:

List each date and location

Or upload your itinerary:
Acceptable file types: pdf, doc, docx, txt, odt or rtf, no more than 2mb

Return Date*

Return Time*

Return Location*

Special Requirements (if any):
i.e: Commentary driver

Will you provide driver's room and meals if away overnight?

Note: Drivers require own room with ensuite facilities.
 Yes No


Section 3: Payment:

Method of Payment*

Payment Policy:
We require payment at least seven days prior to commencement of charter or tour for those clients who do not have credit arrangements. We reserve the right to withhold the delivery of our coach and driver if payment has not been received. Changes to itineraries after quoting will affect the cost and Leopard Coachlines will adjust the price accordingly.


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