MIQHelpers Booking Form

Is a travel agent involved with this application and journey?

No Yes

The Travel Agent listed here will receive a copy of all system-generated emails sent to the applicant by MIQhelpers

Agent Email

MIQhelpers Booking Agent

Landing Agent

Agent Name

Agent Contact Number

Communications to Travel Agent only please

Remember me

Select from the following options

Change an application Cancel an application

Applicant Details

Applicant Email

Applicant Contact Number

Applicant Name

Passengers travelling together

Overseas country of departure

List the country where you will board the first flight on your journey to New Zealand

Pick your arrival dates

Select one or more NZ arrival dates for us to target for you. Click a month name to select/deselect the entire month.

Target Dates

						dates are selecteddate is selected

Minimum Lead Time:

As time passes, the current date will edge closer to your target dates until they become too close to use. Tell us what gap to enforce and we will automatically remove target dates that get too close.

Pricing

How many MIQ Room Release Events would you like us to attend for you?

Room Release Events

Purchased, Attended, Remaining

Coupon

Item	Price	Qty	Line Total
Application Fee:	$	1	$
Events Fee (for up to Room Release Events):		1
Change Fee:	$	1	$
Total			$

Room Release Events

Please email when I am a candidate for a room release event

Please email when I am registered at the "Lobby" for each event

Please email the outcome of each event

Options

MIQhelpers flight specialists to help with my flights please

Please pause my application

I accept the Terms and Conditions, and authorise MIQhelpers to act on my behalf

As the card-holder for this transaction, are you in New Zealand as you submit this request?

No Yes