Guest Application Form

Thank you for inquiring about Lahaina Roads #409. We are excited that you have this wonderful opportunity to enjoy Maui and all it has to offer. You will be pleasantly surprised how close most of Maui attractions (including the ocean) are from your doorstep at #409. If you haven’t already, please visit our web site @ www.lahainacondo.com . This is a non-smoking unit with elevator access.

Please complete this form and mail it to us with your deposit payable to Judy A Buck, 924 S Jackson Ave, Tacoma, WA 98465.

Guest Name/Responsible Party _________________________________(print)

# in party ________________ # of nights stay ___________________

Dates (nights) desired: ___________________________Leave ______________

Daytime phone # ___________________ Cell phone # _____________________

Fax #______________________ Email address ___________________________

Terms and Conditions:

· Maximum Occupancy: Four (4)

· Minimum Stay: Three (3) Nights

· Deposit Required: $500 Nights at Time of Booking

· Balance Due: Thirty (30) Days Prior to Arrival

· Deposit Refundable: Less $250.00 Cancellation Fee

· Deposit Non-Refundable: If Cancellation Occurs Within Ninety (90) Days of Arrival Date.

· Tax Payable: 12.42% Hawaiian Tax on Occupancy Amount; 13.42% as of 7/1/2010.

· Cleaning Fee: $150.00 (Tax Included)

· No membership discounts available

· Payment Method: Check/cash or PayPal (contact us)

Signature of responsible party X______________________________________

Mahalo!

Call us toll free in the US and Canada: 877-LAHAINA (877-524-2462)

Wayne Buck, gwbuck@gmail.com

Judy Buck, judysbus@gmail.com

~~~~~~~~~~~~~~~~~~~~~ 1403 Front Street, Lahaina, Maui 96761 ~~~~~~~~~~~~~~~~~~~~