Wufoo

VACATION RENTAL REGISTRATION

KAUAI DREAMS REALTY
4-1435 Kuhio Hwy., Ste 202 Kapaa, HI 96746
PH: 808.822.5834 FAX: 808.822.5218 EMAIL: dreamrentals@hisemail.net

#1 Guest Name: First Last
#2 Guest Name: First Last
Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Additonal Guest Name
Phone * - (###) - ### ####
Email *
Vacation Rental Unit:
Arrival Date / MM / DD YYYY
Departure Date / MM / DD YYYY
Special Needs:
FOR OFFICE USE ONLY---
SECURITY DEPOSIT:
CLEANING FEE:
PAYMENT RECEIVED:
COMMENTS:
SECURITY DEPOSIT REFUND DATE:
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