Hire A Holden - www.hireaholden.co.nz
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Please use this form if you wish to make a booking, general enquiry or ask for a quote.

Required items are marked with an *.

1. Type Of Enquiry:
 Booking Request  Quote Request  General Enquiry *

2. Your Contact Details:
 Last Name: *
 First Name: *
 Your Address:
 City:
 State/Province:
 Country: *
 Phone Number: *
 Mobile Number:
 Fax No:
 Note: Please include country code and area code in phone and fax numbers.
 Email Address: * (no Gmail please)

3. Information Required:
 Any specific requests or information required:
 

4. Quote/Booking Request Details:
 * Pick Up and Drop Off available Christchurch only
 Vehicle Type:
 Pick Up Date:
 Pick Up Time:
 Drop Off Date:
 Drop Off Time:

5. Arrival / Departure Details:
 Please provide the following information (if known)
 Arrival Flight:
 Arrival Time:
 Accommodation:
 Departure Flight:
 Departure Time:

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Hire A Holden - NZ Free Phone 0508 HIRE A HOLDEN or 0508 44 73 24