Email address
Pleasant Holidays
Contact Information
*
First Name:
*
Last Name:
*
E-mail:
*
Phone:
Best time to call:
General Information
What is your estimated budget?
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
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9
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15
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18
19
20+
Number of Children?
0
1
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3
4
5
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8
9
10
11
12
13
14
15
16
17
18
19
20+
Ages of children?
Seniors (65+)?
0
1
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5
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8
9
10
11
12
13
14
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17
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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
How many nights would you like
to spend on each island?
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1
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10
Kauai
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1
2
3
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5
6
7
8
9
10
Maui
0
1
2
3
4
5
6
7
8
9
10
Oahu
(Leave blank if you
need help with choices.)
0
1
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5
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9
10
Hawaii
0
1
2
3
4
5
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8
9
10
Molokai
0
1
2
3
4
5
6
7
8
9
10
Lanai
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
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14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2002
2003
2004
2005
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
2002
2003
2004
2005
Preferred Airlines:
Any
America West
American Airlines
Continental Airlines
Delta Airlines
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
Type of lodging:
Any
Camping
Condo
Hostel
Studio
B & B
Cottage
Home
Hotel
Resort
Retreat
Timeshare
Preferred view:
Any
Garden
Mountain
River
Riverfront
Ocean
Oceanfront
Preferred Location:
Any
North Shore
South Shore
East Side
West Side
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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