| Tom Barefoot's
Tours - Quick Order Form |
| Tour/Activity
Information |
I am interested in
this product *: |
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The product above is located
on this Hawaiian island *: |
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| # of Adults *: |
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| # of Kids: |
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| Activity Date *: |
(ex. July 4, 2008) |
| Your Trip
Information |
| Arrival Date: |
(ex. July 1, 2008) |
| Departure Date: |
(ex. July 9, 2008) |
Which Hawaiian island(s)
are you visiting: |
Big Island of Hawaii
Maui
Lanai
Molokai
Oahu
Kauai |
| Name(s) of Hotel/Condo: |
|
| Your Contact
Information |
| First & Last Name *: |
|
| E-mail *: |
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| Cell Phone *: |
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| Phone: |
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| Fax: |
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| Address *: |
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| City *: |
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| State/Province *: |
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| Zip *: |
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| Country *: |
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| Your Payment
Information |
| Option #1: |
= Call me regarding payment |
| Option #2: |
= Pay by credit card |
| Credit Card Type: |
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| Credit Card Number: |
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| Credit Card Expiration Date: |
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| Name on Credit Card: |
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| Message to customer service: |
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Pricing
and Cancellation Policy
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