Name *

First Name

Last Name

Phone Number *

(###)

###

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Which one of our accommodation facility would you like to stay at? *

YMCA Hostel (20 Pitt Street, Auckland CBD)

City Lodge (150 Vincent Street, Auckland CBD)

Not Sure

Arrival Date *

MM

DD

YYYY

Departure Date *

MM

DD

YYYY

Group Type

School Group

Sports Group

Conference

Other