RESERVATION REQUEST FORM

Confidential  mail to: info@hawaiires.com Customer Information (Required*). This information is strictly used for billing purposes and will remain confidential between customer and Hawaii Reservations.

Name*  
Address*  
City*  
State*  
Zip Code*  
Country*  
Phone*  
Email*  
Credit Card  
Name on Card  
Credit Card #  
Expiration Date  

Accommodations Request

# Rooms
Arrival/Departure & Room Category 1
Arrival/Departure & Room Category 2

Activities Request

Activity 1
Activity 2
Activity 3

Airlines Request

Passenger Names
Itinerary 1
Itinerary 2
Itinerary 3

Car Rentals Request

Driver Names
Company
Category
Itinerary 1 Pick Up & Drop Off
Itinerary 2 Pick Up & Drop Off

Events Request

Event 1

Golf Request

Itinerary 1
Itinerary 2
Itinerary 3

Greeting Request

Arrival Airport
Arrival Date
Airline & Flight #
Service
Names

Restaurant Request

Restaurant 1
Restaurant 2
Restaurant 3
Special Requests

Submitting a request indicates that you agree with the Terms and Conditions.

1/01/08

EMAIL: info@hawaiires.com
PO BOX 4016, HONOLULU, HI 96812
PHONE (808) 222-2224 - FAX (808) 748-0007

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