Email address
Pleasant Holidays
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?
Please Choose
$750 - $1,000
$1,001 - $1,500
$1,501 - $2,000
$2,000 and up
Do you already have a quote from another website or travel agent?
Please Choose
Yes
No
If you do have a quote, please give some details about the quoted package and where you received it.
Travel Group
Number of Adults?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
Number of Children?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
Ages of children?
Seniors (65+)?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20+
*
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
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
Pre
Post
Maui
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
Pre
Post
Oahu
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
Pre
Post
Hawaii
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
Pre
Post
Molokai
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
Pre
Post
Lanai
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
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?
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
Remember – most flights are overnight, and you arrive at your destination the following day.
*
When would you like to depart Hawaii?
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2008
2009
2010
2011
Are these dates flexible?
no
up to one day
up to 2 days
up to 1 week
more than one week
Preferred Airlines:
Any
Air Canada
USAirways
American Airlines
Westjet
Continental Airlines
Delta Airlines
Hawaiian
NorthWest Airlines
United Airlines
Service Class:
Coach (lowest avail)
Coach (unrestricted)
Business
First 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:
Any
Sub-Compact
Compact
Mid-Size
Full Size
Mini Van
Pickup
SUV
Jeep
Luxury
Limousine
Model:
Any
Convertible
Sedan
Lodging Reservation
Do you require lodging?
Yes
No
Preferred Hotel Brand:
Any
Aston
Castle
Hilton
Hyatt
Independent
Marc
Marriott
Ohana
Outrigger
Starwood
Type of lodging:
Any
Condo
Studio
B & B
Cottage
Home
1 Bedroom
2 Bedroom
3 Bedroom
Hotel
Resort
Preferred view:
Any
Garden
Mountain
City
Partial Ocean
Ocean
Oceanfront
Preferred Location:
Any
North Shore
South Shore
East Side
West Side
Budget per Night:
Under $100
$100-150
$151-200
$201-250
$251-300
$301-350
$351-400
$401-500
$500+
Special Requests:
Non-Smoking
Smoking
King Bed
Please describe the number of rooms
and bedding arrangements required:
Personal Interests
Is this a special event?
None
Anniversary
Birthday
Graduation
Honeymoon
Wedding
Retirement
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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