NAME__________________________________________________
ADDRESS_______________________________________________
CITY_______________________ STATE___________ ZIP________
PHONE--HOME_________________WORK_____________________
EMAIL________________________FAX______________________
OCCUPATION________________EMPLOYER __________________
1. The PENTHOUSE / COTTAGE / MAIN HOUSE / RETREAT (please
circle)
shall be rented to the undersigned for the following:
ARRIVAL Date:__________Flight arrival time?_______DEPARTURE________
For a total of ____Nights: (check-in
3 PM. check-out 10 AM --Unless otherwise arranged)
RATES:
$____________RENT for # of people____ (based
on weekly rate of $________).
$____________HAWAII STATE TAX
$____________Cleaning
$____________TOTAL
$____________1/2 of Total Due Now
$____________BALANCE: (Due 90 Days before Arrival) Date___________
We
accept credit cards and require the first half of the total
to be paid
upon booking. The remaining balance is due 90 days prior to
arrival.
Special
arrangements can be made for payment by check.
How
will you pay? Check / MasterCard / Visa (circle one)
Card #: __________________________Exp:_______ Zip Code______
2. The
property (including contents) shall be the responsibility of
the undersigned.
3. Cancellation Policy: Prior to 90 days before arrival--full
refund less 15%.
Less than 90 days before arrival: Refund based on ability to
rebook.
SIGNATURE:____________________________DATE_______________
