Connection and Information Request

Please complete the following form or email listings@explorenewzealand.net.nz

Business Name:
Owner/Contact Name:
Email Address:
Web Site URL:
Phone Number:
Fax Number:
Address:
Country:
Type of listing:
Please make your selection.
Additional Options: Please make your selection.
1) Connection to Womens Travel Network Reservation Site, www.explorenewzealand.net.nz - add $100 per year plus GST (or $10 per month to each of the above options) Yes No
Listing location
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New Zealand
Australia
Other location
Additional Listing Details:
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Payment Options: Please make your selection.
1)Payment on Invoice.
Payment Terms is 14 days from date of Invoice.
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2) Payment by credit card.
The following cards are accepted -
  • Visa
  • Mastercard
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3) I would like to pay by -
  • Monthly Installments -
  • The total ammount -

    • Yes No
    Yes No
    Credit Card Type:
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    For online secure payment verification

    Comments:
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