Booking Form

You will be automatically redirected to the online shop after you submit this form.

If filling out forms for a group or family, you will be redirected each time you submit, but only checkout once for the total tests you are requiring

Please fill in one per person being tested

This is the information which goes on your Certificate, so it is very important the information is exactly what is on your travel documents

Do not use this form if you are a Sports Team unless each individual is registering their own details

First, middle and last Name

Date of birth DD/MM/YYYY

Passport Number

Passport expiry (DD/MM/YYYY)

Date and time of travel MUST BE NZST

Are there other people in this booking?(yes/no)

PCR or RAT test

Is there anything you need help with?

City you are taking off from

City you are landing in

NHI number (for PCR testing only)

Address

One Certified RAT Test $60.00 NZD.

Three or more tests in one session $55.00 NZD each.

For bulk groups or multiple trips, contact me ????

One Certified PCR test for travel $175

Phone: 021 945 835
Email: rncertifiedrat@yahoo.com

180 Taylor Rd, Waimauku,
Auckland, New Zealand