Email address

 
Pleasant Holidays

 

 

 

 

 

 

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Contact Information

* First Name:
* Last Name:
* E-mail:
* Phone:
Best time to call:
Preferred contact method: Phone
E-mail

General Information

What is your estimated budget per person?
Do you already have a quote from another website or travel agent?
If you do have a quote, please give some details about the quoted package and where you received it.

Travel Group

Number of Adults?
Number of Children?
Ages of children?
Seniors (65+)?
* Names of each individual
as they appear on ID's?
(Required for airline reservations)


Please provide some information about the type of package
you'd like, and the type of places in which you'd like to stay.

Island Itinerary


Nights Order on Trip Pre or post cruise stay?
How many nights would you like
to spend on each island?


(Leave blank if you
need help with choices.)
Kauai Pre
Post
Maui Pre
Post
Oahu Pre
Post
Hawaii Pre
Post
Molokai Pre
Post
Lanai Pre
Post
Details of your proposed itinerary
if multi-island stay:

Airline Reservations

Do you require airfare included in your package? Yes No
* What airport do wish to depart from?
List alternates if price is more
important than convenience.
* When would you like to arrive in Hawaii?
Remember – most flights are overnight, and you arrive at your destination the following day.
* When would you like to depart Hawaii?
Are these dates flexible? no
up to one day
up to 2 days
up to 1 week
more than one week
Preferred Airlines:
Service Class:

Car Rental Reservation

If you choose 'No' your package will include paid transfers to your hotel unless you request otherwise.

Do you require a rental car? Yes No
Type:
Model:

Lodging Reservation

Do you require lodging? Yes No
Preferred Hotel Brand:
Type of lodging:
Preferred view:
Preferred Location:
Budget per Night:
Special Requests: Non-Smoking
Smoking
King Bed
Please describe the number of rooms
and bedding arrangements required:

Personal Interests

Is this a special event?
What would you like to do while in Hawaii?
Check all that apply:


Beach


Biking


Culture


Golfing


Hiking


History


Holistic Health


Horseback Riding


Kayaking


Luau


Nightlife


Romance


Sailing


Scuba Diving


Shopping


Snorkeling


Spa


Sugar Cane Tour


Surfing


Tennis


Water Skiing


Wellness


Whale Watching


Yoga


 
 

Any other special requests?


  

  

  

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