YOUR CONTACT INFORMATION:

Email Address:
Name:
Address:
City:	State: Zip:
Country:
Home Phone:	Work Phone:
Cell Phone:

YOUR TRAVEL INFORMATION:

Arrival Date:
Departure Date:
No. of Adults:	No. of Children:
	Are your dates flexible?
	yes no
	Is this your first time to Maui?
	yes no
	Have you stayed at Hale Kai before?
	yes no
Other Comments:
PLEASE double check your email address and phone numbers. This form will be sent to the owners as well as the Rental Manager at Hale Kai who will email you with availability information. If you do not get a response within a couple of days from Hale Kai, please email leimomi@lava.net and/or mk22760@hawaii.rr.com (Kehlor daughters).