Air Niugini

CUSTOMIZED TRIP

Title:*

First Name:*

Middle Name:

Surname:*

Mobile Number:*

Email:*

Contact Address:*

Client Name*	DOB*	Passport Number*	Action

From*	Date*

To*	Date*

Number of night (s):

Number of room (s):

Preferred Hotel (s):

Special Request or additional information:

Transport Hires:

Transport Type:

Travel Insurance:

Meals preference:

Meals Type:

Activities:

You must quote your membership number at the time of booking so that you can automatically earn PX frequent flyer points every time you travel