Request Vacation Rental Information Please complete the following and the requested information will be sent to you promptly. Name* First Last Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Home PhoneWork PhoneCell/OtherFaxBeginning Date MM slash DD slash YYYY Number of NightsNumber of Adults Number of Children Ages 0 - 7 Number of Children Ages 8 - 18 Property NameNo PreferenceIslander on the Beach 205Islander on the Beach 214Islander on the Beach 246Islander on the Beach 258Islander on the Beach 352Kapaa Shore 117Kapaa Shore A201Kapaa Shore C324 Kauai Kailani 318Lae Nani 123Pili Mai 6-LPlantation Hale A1Plantation Hale A5Plantation Hale C16Pono Kai A306Pono Kai F206 Pono Kai F207Pono Kai J107Pono Kai J305Wailua Bay View 203Wailua River CottageWaipouli Beach Resort A104Waipouli Beach Resort A207Waipouli Beach Resort A301Waipouli Beach Resort A302Waipouli Beach Resort A305Waipouli Beach Resort A406Waipouli Beach Resort B101Waipouli Beach Resort C101Waipouli Beach Resort C201Waipouli Beach Resort C204Waipouli Beach Resort C206Waipouli Beach Resort C302Waipouli Beach Resort C304Waipouli Beach Resort C404Waipouli Beach Resort D101Waipouli Beach Resort D102Waipouli Beach Resort D104Waipouli Beach Resort D201Waipouli Beach Resort D204Waipouli Beach Resort D310Waipouli Beach Resort D408Waipouli Beach Resort E105Waipouli Beach Resort E301Waipouli Beach Resort E404Waipouli Beach Resort F201Waipouli Beach Resort F301Waipouli Beach Resort F401Waipouli Beach Resort F402Waipouli Beach Resort G101Waipouli Beach Resort G103Waipouli Beach Resort G104Waipouli Beach Resort G206Waipouli Beach Resort G302Waipouli Beach Resort H101Waipouli Beach Resort H103Waipouli Beach Resort H104Waipouli Beach Resort H201Waipouli Beach Resort H204Waipouli Beach Resort H207Waipouli Beach Resort H301Waipouli Beach Resort H305CommentsPhoneThis field is for validation purposes and should be left unchanged. Δ