Island Hopper Vacations Cook Islands, Samoa and Niue

Reservation request form

Dear visitor,

Our Bora Bora Experts team can't wait to assist you in planning your trip. Please send us an e-mail or simply fill out the following form. Once we receive your request, we will be in touch!"

Step 1: Your Trip

Number of adults

Number of children (and age)

Arrival date in Tahiti

		*
Arrival date required!

Desired length of stay

days

Honeymoon

Your Wedding Date

Arrives from

* Please select where you arrive from

Airline

Flight number

Step 2: Your Itinerary

Please select below your preferred choices for your holiday. Of course, you may contact us anytime for advice.

SELECT A PACKAGE

OR SELECT A CRUISE

OR CUSTOMISE YOUR ITINERARY

Island 1

select

Number of nights

Island 2

select

Number of nights

Island 3

select

Number of nights

Island 4

select

Number of nights

Island 5

select

Number of nights

Step 3: Personal Information

We would like to assure you that the information we asked for in this form is strictly for use in booking your travel. It will not be used for unsolicited mailings or distributed to any other company.

Details

First Name *
Last Name *
Business Name
Position
Email Address *
Confirm Email Address *
Website
Phone
Fax

Address

Street
Suburb
City
State
Country *	(*) Country
Post Code

Please e-mail me with news updates

Master Details

Export Code
Custom 1/2/3
Custom Drop 1/2/3/4
Custom Contact Drop 1/2/3/4
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Distribution / Groups

Notes/profile

Summary

Profile 1

Profile 2

Help us serve you better! Please use this space to list any questions, requests or comments you may have regarding the organization of your trip.

Island Hopper

E-Mail info@islandhopper.co.ck

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Your Cook Islands Wholesale Specialist

Your Cook Islands
Wholesale Specialist