Strait Shipping Reservation Form

Bluebridge Service Reservation Form
*Contact Name : * Required** *If a Travel Agency Booking Enter - Travel Agency Name
*Contact Email Adress: Required**
*Contact Phone Number : Required**
Cell Phone Number : (New Zealand Residents Only)
Fax Number :
Street Address, City, State & Post/Zip Code : * Required
*Country: Required**
*Number of Adults: Required**
Number of Children (1-12yrs):
Number of Infants (0-1yr):
Names of All Adults & Children travelling including Children age/s: Required under New Zealand Maritime Law
*Travel Date 1: Required**
*Time 1: Required**
Vehicle Type:
Travel Date 2 :
Time 2:
Vehicle Type:
Vehicle Make & Model : (New Zealand Residents Only)
Vehicle Registraion Number : (New Zealand Residents Only)
Method of Payment: *
* Payment is due upon your confirmation or within 7 days of travel date.
Credit Card Number : (0000-0000-0000-0000)
Expiry Date: (mm/yr)
Cardholder's Name:
Comments, special needs, etc :
Please check your email address is correct. Your reservation will be sent direct to Strait Shipping who will confirm reservation and prices. By submitting this reservation request, you are abiding by to all Booking/Change/Change Conditions and Fees of Strait Shipping. You will receive an email acknowledgement that your Reservation Request has been sent.