Full Name:                             

Home phone:

Mobile:

Email:

Home Address (include country):

Which City/Town will you be requiring accommodation in?

Will you be requiring short term accommodation in another area of NZ before you arrive at your destination?

Yes No

If so, where?

Are you coming to New Zealand on your own?   Yes No

If accompanied, please give details:

Occupation:

Employer name: * this is important

Employer contact details: 

Will you have your own transport or will you be using public transport?  Public transport       Own transport

About you

Date of birth:  in dd/mm/yyyy format eg 15/04/1979

Do you have any dietary requirements? (if yes, please give details)  Yes  No

If yes, please give details:

Do you smoke?   Yes No  (smoking is only permitted outside)

Do you have any religious requirements?  Yes No

If yes, please give details:

Are you allergic to cats?   Yes No

Are you allergic to dogs? Yes No

Do you have any criminal convictions we should be aware of?    Yes  No

If yes, please provide details:

Arrival information

Date of arrival:

Airline:       Flight number:        Arrival time: 

Please ensure above flight details are correct

Payment information

To save you paying hefty international bank fees, we can invoice you in the currency of your home country - please choose your currency below:

NZ dollars     Australian dollars     GB Pounds     Euros      Other (please provide details) 

Code of Conduct:

1. Ask your host if there are any house rules you should be aware of.
    
2. No smoking indoors.  If smoking is permitted outdoors, please ensure you clear up.
    
3. Electricity and power is expensive in New Zealand, please respect this.
    
4. If you are going to be late home, let your host know either by text or phone asap.
    
5. If you are out and come home late, please don't be noisy.
    
6. Check with your host re broadband allowance
    
7. Above all, be considerate and enjoy!

Please note that in submitting this form you agree to the Terms and Conditions and Code of Conduct above.  
A copy of these will be emailed to you automatically.