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*Name Daytime Phone Evening Phone *E-mail         Do you have an exact date planned for you trip to Hawaii? If "Yes", on what date do you plan to arrive?   If you haven't set an exact date, approximately when do you plan to arrive? Less than 1 month One to three months Three to six months Six months to a year More than one year   Planned length of stay: 1-3 days 4-7 days 8-14 days More than 2 weeks I am moving to Hawaii   Services and Information Babysitter / Nanny Service Catering Services Gift / Fruit baskets / Tropical Flower Arrangements Limousine Service Manicure, Pedicure and Facials Massage Therapy Photographer Services Shared Ownership Wedding Services

I am interested in doing the following activities during my Maui vacation: (Please check all that apply): ATV Dunebuggy Adventure Biking - Down the Volcano Sunset Cocktail Cruise Dinner Cruise Dunebuggy Adventure Golf - Lanai Golf - Maui Helicopter Tours Hiking Tours Horseback Riding Jet Skiing (May 15 - Dec 15) Kayak Adventures Kiteboarding Hawaiian Luau Molokai Island Tours Paragliding Parasailing (May 15 - Dec 15) Performance Sailing Private Charters -Snorkel Trips, Sunset Sails, etc. (please specify in comments below) Ocean Adventure Rafting Tours - Dolphins & Sea Caves Scuba - Intro or Certified Snorkeling (Honolua Bay, Molokini or Lana'i) Snuba Sport Fishing - Marlin, Ahi, Mahi Mahi Sporting Clays - Lanai Sugar Cane Train Surfing Lessons Sunset Sail Submarine Adventure Ulalena - Live Hawaiian Theater Pearl Harbor Tours Narrated Van Tours - Hana, Haleakala Active Volcano Tours Whale Watching (Dec 15 - May 15) Windsurfing Zipline Adventure Other (please describe in comments below)

Please use the following space for any additional comments or questions you may have: