New Zealand
Domestic AD Travel Application Form Close
* Indicates fields which are mandatory and must be completedEmail me a copy of these details  
Domestic AD Travel Application Details
Agency / Company Name Today's Date
Agency Address
Employee Name Position
Spouse / Partner Name Relationship
(Proof of relationship may be required)
Email Contact
Phone Contact
Flight Details  (NB: Applications will only be accepted between 4 - 28 days prior to departure)
Flight Number Date Sector Level of Discount
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Add Sector
Your Air NZ Reloc is  
Your IATA Card number Expiry Date Calendar image.
  I agree to provide the above card when requested by Air New Zealand
Or
Your Manager's Approval
I    hereby certify the above person is employed and actively engaged selling travel as outlined under the eligibility clause Resolution 880 Agent Discount standard terms and conditions.

Air New Zealand reserves the right to verify eligibility at any time.
  I have read and agree to abide by all aspects of the Agent Discount Travel Policy
To apply for International AD Travel, please complete the International AD Travel Form and send to Partner Services for authorisation.

For more information on ticketing instructions or procedures for Agent Discount Travel, refer to the
Agent Discount Policy.