Paper Ticket Request Form

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New Zealand

* Indicates fields which are mandatory and must be completed

Email me a copy of these details

Require Five (5) working days to process your ticket request


Agency				*

Agency Address (Physical Address)				*

Contact Name				*

Email Contact				*


Today's Date

Phone Contact				*

IATA Number (including check digit)				*

DX Number				*

PNR Details

Complete a new form for each PNR that requires a paper ticket

New Issue *

Reissue *

NZ PNR

Shorthaul

Longhaul

Ticket Time Limit

Passenger Name Details

A maximum of 9 passengers can be added

Surname *

First Name (s) *

Title *

Passenger Type *

Infant / Child DOB *

Itinerary Details

A maximum of 16 sectors can be added

(APT Code)

Flight *

Booking Class *

Date *

From *

To *

Departure Time *

Arrival Time *

Status *

Fare Basis *



Fare Calculation and Taxes *
Copy and paste from your GDS the fare calculation including taxes



	Published Fare *

	Nett fare with tourcode *	(Specify Tourcode)

	Nett fare without tourcode - Fare Basis *	(Specify Fare Basis)




Fare Details (including taxes)


		Adult	Child	Infant

	Total Fare (including Taxes)

	Nett Fare Payable (including Taxes)

	Reissue/Reval Fees

	Total Additional Collection (including taxes & fees)

Form of Payment(FOP) * tick applicable box

Direct Debit via BSP Link, this will be shown as an ADM

Travelcard

Credit Card

Cardholder Name

Card Number

Card Type

ExpiryDate

(mmyy)

Cost Centre

When using a Travelcard or Credit Card please print then
manually enter details and fax to Partner Services (09) 336 2756





Ticket Delivery


			I will collect from Air New Zealand, 185 Fanshawe Street, Auckland

			Please send the ticket to our Agency Address as above

	Additional Comments





For reissue tickets please print and send to:

		Partner Services, AKLFS4/5, 185 Fanshawe Street, Air New Zealand, Private bag 92007, Auckland
		Partner Services, AKLFS4/5, DX: CP19098

			* I have enclosed the Original Ticket

			* It is the responsibility of the agent to transpose the information correctly for ticketing purposes. Booking classes, fares and taxes calculated, or information transposed incorrectly will be subjected to an ADM by the participating carrier(s). If so the ADM will be forwarded onto the agent to pay.