Reservation Agreement
| Name/business/organization: . . . . . . . . . . . . . . . . . . | ______________________________________________ |
| Contact name (if for a business/organization): . . . . . . | ______________________________________________ |
| E-mail: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | ______________________________________________ |
| Phone number: . . . . . . . . . . . . . . . . . . . . . . . . . . . | ______________________________________________ |
| Address: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | ______________________________________________ ______________________________________________ |
| Vehicle reserving: . . . . . . . . . . . . . . . . . . . . . . . . . | ______________________________________________ |
| Date and time of pickup: . . . . . . . . . . . . . . . . . . . . . | ______________________________________________ |
| Date and time of drop off: . . . . . . . . . . . . . . . . . . . . | ______________________________________________ |
| Airport Pick up? . . . . . . . . . . . . . . . . . . . . . . . . . . . | Y / N |
| If yes, flight information into and out of Lihue Kauai. | ______________________________________________ |
| Credit Card#: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . | ______________________________________________ |
| Expiration Date: . . . . . . . . . . . . . . . . . . . . . . . . . . . | ______________________________________________ |
| _____________________________________ | _____________________________________ | ___________________ |
| Signature | Name (printed) | Date |