Hawaii Activities and Kauai Activities from Paradise Activities

Paradise Travel & Activites Information Request

1. Name

**Name:

** E-mail:

2. Address and Telephone Numbers

Address:

City:

State:

Zip Code:

Country:

Phone:

Cell Phone:

3. Accommodations

Where Staying?

Would you like To be contacted Regarding airfare or accommodations?

yes, please contact me about accommodations information and specials

no, please DO NOT contact me about accommodations information and specials

4. Travel Information

Arrival Date:

Departure Date:

Number of People:

Special Interests:

5. Comments

** mandatory