YOUR CONTACT INFORMATION:

Email Address:
Name:
Address:
City:	State:
Country:	Zip:
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 Robert Kehlor-owner and it will be forwarded to 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).