Fiordland Helicopters Booking Form

Your Contact Details
Name*	Required
E-mail Address*	RequiredInvalid format.
Phone / Mobile Number

Heli-experience Details

Flight Date / Time	Select Date / Time
Preferred Date*	Please select date Please select month
Preferred Time	Morning Afternoon
No of people*	Please select an item.
Selected Flight*	Please select an item.

Would you like to include our 'Picnic in the Park' option for $110 per person?
	Yes No

Any Questions or Comments?

Payment Details

Credit Card details are required to secure flights with prices as listed above. Card details are held for deposit purposes only and no payment will be taken at this point.

Credit Card Details
Credit Card Type*
Card Number* (16 Digits)
Expiry Date* (e.g. 01.07)
Name On Card*
CSC Number* (Last 3 Digits)

Please tick

I have read and accept Fiordland Helicopter's Terms and Conditions